Organization Active NPI

Kristen Kreider LLC

  • Community/Behavioral Health Agency
  • Towson, MD
National Provider Identifier
1992385355
Registry record updated Apr 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KRISTEN KREIDER LLC
Practice address
501 Kenilworth Dr Apt T3
Towson, MD 21204-3876
Phone
(410) 474-8993
NPI assigned
Apr 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristen Kreider, LCSW-CNPI 1548716947
Title
Clinical Social Worker
Phone
(410) 474-8993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

501 Kenilworth Dr Apt T3
Towson, MD 21204-3876

Mailing address

501 Kenilworth Dr Apt T3
Towson, MD 21204-3876
Phone (410) 474-8993

Other identifiers 1

IdentifierTypeStateIssuer
1548716947MedicaidMD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618012800000",
    "number": "1992385355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 KENILWORTH DR APT T3",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212043876",
            "telephone_number": "410-474-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 KENILWORTH DR APT T3",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212043876",
            "telephone_number": "410-474-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN KREIDER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-10",
        "last_updated": "2021-04-10",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "KREIDER",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "410-474-8993",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548716947",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.