Kathleen A. Nardella, Lcsw-C, LLC
Social Worker, Clinical in Rockville, MD. Organization (NPI-2).
NPI number1124449673
StatusActive
Last updated in NPPESJan 1, 2014
Details
- NPI
- 1124449673
- Entity type
- Organization (NPI-2)
- Legal business name
- Kathleen A. Nardella, Lcsw-C, LLC
- Organization subpart
- No
- Enumeration date
- Jan 1, 2014
- Last updated
- Jan 1, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 14995 | MD | Yes |
Practice location
6203 Executive BlvdRockville, MD 20852-3906
Phone 301-775-5373
Mailing address
350 Fortune Ter Ste CPotomac, MD 20854-2910
Phone 301-775-5373
Authorized official
Kathleen A Nardella
Owner
3017755373
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