KELLY SCHROEDER (NPI# 1104254069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104254069 |
| Entity Type | Individual |
| Full Name | KELLY SCHROEDER |
| Credential | LCSW-C |
| Practice Address |
1716 Harford Rd Suite 204 Fallston MD 21047-2643 |
| Practice Telephone | 4108777207 |
| Practice Fax Number | 4108777224 |
| Mailing Telephone | 4108777207 |
| Mailing Fax Number | 4108777224 |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2013-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
17659 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679775688 | Kelly M Schroeder | Physical Therapist | 1640 E. Sumner Street, Hartford, WI 53027 | 2007-06-01 |
| 1336365311 | Kelly S. Schroeder | Emergency Medicine | 10985 N 60th St, Omaha, NE 68152-1459 | 2007-04-18 |
| 1013563873 | Kelly Schroeder | Speech-Language Pathologist | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2019-08-16 |
| 1710430830 | Kelly Schroeder | Counselor | 1735 Enterprise Dr Ste 105a, Fairfield, CA 94533-6822 | 2016-07-25 |
| 1942662663 | Kelly Schroeder | Physical Therapy Assistant | 1350 14th Ave Se, Decatur, AL 35601-4364 | 2016-03-22 |
| 1902925480 | Kelly Irene Schroeder | Dentist | 1108 Western Ave, Fergus Falls, MN 56537-4808 | 2007-03-28 |
| 1194861682 | Kelly A Schroeder | Internal Medicine | 750 W High St, Suite # 250, Lima, OH 45801-2969 | 2007-01-30 |
| 1396837209 | Kelly Schroeder | Physical Therapist | 1880 N Perry St, Suite100, Ottawa, OH 45875-1129 | 2006-09-28 |
| 1770545139 | Kelly Marie Schroeder | Physician Assistant | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2006-04-03 |
| Street Address |
1716 HARFORD RD SUITE 204 |
| City | FALLSTON |
| State | MD |
| Zip Code | 21047-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033229877 | Perfecto Cruz Valarao | Internal Medicine | 1716 Harford Rd, Suite 101, Fallston, MD 21047 | 2006-08-30 |
| 1245698844 | Victoria Lynn Antal | Counselor | 1716 Harford Rd, Suite 204, Fallston, MD 21047-2643 | 2016-02-10 |
| 1407281397 | Kristi Eliza Thrailkill | Social Worker | 1716 Harford Rd, Suite 204, Fallston, MD 21047-2643 | 2013-09-10 |
| 1750716189 | Kathleen E. Kilgalen | Social Worker | 1716 Harford Rd, Suite 204, Fallston, MD 21047-2643 | 2013-09-04 |
| 1598028516 | Sara Riker | Social Worker | 1716 Harford Rd, Fallston, MD 21047-2643 | 2012-06-25 |
| 1811122898 | Albert S.c. Sun, M.d., P.a. | Internal Medicine | 1716 Harford Rd, Suite 105, Fallston, MD 21047-2643 | 2009-05-20 |
| 1861644411 | Karen Kristine Poehlman | Counselor | 1716 Harford Rd, Suite 204, Fallston, MD 21047-2643 | 2008-10-15 |
| 1124284591 | Bel Air Anesthesia Associates LLC | Anesthesiology | 1716 Harford Rd, Suite 101, Fallston, MD 21047-2643 | 2008-08-05 |
| 1447466172 | James F Kilgalen | Social Worker | 1716 Harford Rd, Suite 204, Fallston, MD 21047-2643 | 2007-05-16 |
| 1609082601 | Jane Cassilly Knapp | Social Worker | 1716 Harford Rd, Suite 204, Fallston, MD 21047 | 2007-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316583750 | Alfred Tetteh | Nurse Practitioner | Choiceone Urgent Care-fallston, 2315 Belair Road Suite C1, Fallston, MD 21047 | 2019-11-20 |
| 1184148009 | Walgreen Co | Pharmacy | 2101 Fallston Rd, Fallston, MD 21047 | 2017-08-02 |
| 1871999276 | Bergand Group | Psychiatry & Neurology | 1803 Harford Rd, Fallston, MD 21047 | 2014-11-12 |
| 1407122716 | Wendy Peckinpaugh | Registered Nurse | 2517 Hess Road, Fallston, MD 21047 | 2012-03-30 |
| 1114244829 | Ann-louise Hardesty | Social Worker | 1716 Harford Road Suite 204, Kilgalen Associates, Fallston, MD 21047 | 2010-04-21 |
| 1255458659 | Fallston Volunteer Fire & Ambulance Company, Inc. | Ambulance | 2201 Carrs Mill Rd, Fallston, MD 21047 | 2007-03-23 |
| 1740329283 | Salvacion Garin Lazatin | General Practice | 2412 Baldwin Mill Rd, Fallston, MD 21047 | 2007-02-05 |
| 1508915059 | William Michael Kenney | Dentist | 209 Mountain Rd, Fallston, MD 21047 | 2007-01-10 |
| 1902964844 | Janet Sue Neer | Social Worker | 1716 Harford Rd Suite 204, Kilgalen Associates, Fallston, MD 21047 | 2006-12-04 |
| 1275628265 | Allen E Silver Md Pa | Ophthalmology | 1809 Connolly Rd, Fallston, MD 21047 | 2006-10-04 |
| Find all providers in zip 21047 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518471267 | Rachel Ciliberti | Counselor | 1716 Harford Rd Ste 204, Fallston, MD 21047-2699 | 2017-11-16 |
| 1194964494 | Anne Marie Porretti | Counselor | 2303 Belair Road, Ste B, Fallston, MD 21047-2104 | 2009-02-10 |
| 1245698844 | Victoria Lynn Antal | Counselor | 1716 Harford Rd, Suite 204, Fallston, MD 21047-2643 | 2016-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053231 | All Is Well Therapeutic Services, LLC | Counselor | 3625 Sweetbush Trl, Laurel, MD 20724-2493 | 2020-11-06 |
| 1477154482 | Inner Alchemy LLC | Counselor | 629 S Streeper St, Baltimore, MD 21224-3831 | 2020-11-05 |
| 1992306567 | Ian Stump | Counselor | 1018 Irwins Choice, Bel Air, MD 21014-2531 | 2020-11-02 |
| 1962002709 | This Generation Will Succeed, LLC | Counselor | 2835 Odonnell St Ste 203, Baltimore, MD 21224-4995 | 2020-10-30 |
| 1174123244 | Alexia N Smith | Counselor | 841 E Fort Ave # 385, Baltimore, MD 21230-5117 | 2020-10-28 |
| 1275133407 | Julianne Grace Patchan | Counselor | 9518 Sweet Grass Rdg, Columbia, MD 21046-2066 | 2020-10-27 |
| 1629678107 | Shamonique Driskell | Counselor | 14625 Baltimore Ave # 817, Laurel, MD 20707-4902 | 2020-10-26 |
| 1811596547 | Nicole Price | Counselor | 9922 Liberty Rd, Randallstown, MD 21133-1804 | 2020-10-23 |
| 1245839968 | Dominique Rigney | Counselor | 139 Westminster Pike, Reisterstown, MD 21136-1026 | 2020-10-23 |
| 1285233080 | Joia Patricia Felton | Counselor | 2445 Holly Ave Apt 223, Annapolis, MD 21401-3998 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.