KHADEJAH MCDOUGALD LCSW-C NPI 1689345993

NPI Information

  • NPI: 1689345993
  • Provider Name: KHADEJAH MCDOUGALD, LCSW-C
  • Classification: Social Worker - 104100000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4200 EDMONDSON AVE STE 202A
    BALTIMORE, MD
    ZIP 21229
  • Phone: (667) 205-1646

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NPI Details

Khadejah Mcdougald, LCSW-C is a social worker in Baltimore, MD with 16 years of experience. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Khadejah Mcdougald, LCSW-C NPI is 1689345993. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4200 EDMONDSON AVE STE 202A
BALTIMORE, MD
ZIP 21229-614
Phone: (667) 205-1646

The NPI 1689345993 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/26/2021 and was last updated on 3/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial Worker23645MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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