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CHAE W KWAK LCSW-C
NPI 1174773246
Social Worker - Clinical in Baltimore, MD

Active since September 25, 2008PECOS Enrolled
711 W 40TH ST, SUITE 230B, BALTIMORE, MD 21211(410) 532-3080(410) 532-3080 Get Directions Write a Review

NPPES record last updated: September 25, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Chae W Kwak Lcsw-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHAE W KWAK LCSW-C (NPI 1174773246) is an individual clinical provider in Baltimore, Maryland, licensed in Maryland (12156) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174773246
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameCHAE W KWAKCredential: LCSW-C
Location Address711 W 40TH ST, SUITE 230BBaltimore, MD 21211-2120
Mailing Address711 W 40th St, Suite 230bBaltimore, MD 21211-2120 · (410) 532-3080 · Fax (410) 532-3080
Phone(410) 532-3080
Fax(410) 532-3080
Sole ProprietorYes
Enumeration DateSeptember 25, 2008
✔ NPI 1174773246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MD · 12156
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
711 W 40TH ST, Baltimore, MD 21211
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chae W Kwak Lcsw-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Chae Kwak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Ties Of Brunswick, LLC
360 mi
Professional
720 N 3RD ST STE 401
Wilmington, NC 28401
  • Reassigned Medicare billing, North Carolina enrollment
  • 12 clinicians in this Medicare group
NPI 1831682665 (910) 769-9126

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
143 services41 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
83 services32 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
19 services19 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.73 – $183.44
Typical copayment $0.00 (range $15.18 – $45.86)
Most-billed visit code NA
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KWADWO KWAKYE PHARMD
Pharmacist
711 W 40TH ST
BALTIMORE, MD 21211
Baltimore City (410) 467-3343
SMILE ROTUNDA LLC
Dentist (General Practice)
711 W 40TH ST, STE213
BALTIMORE, MD 21211
Baltimore City (410) 889-7100
DR. LAURA AROLD KUHN FRAZIER PH.D.
Psychologist (Counseling)
711 W 40TH ST, SUITE 428
BALTIMORE, MD 21211
Baltimore City (410) 979-2326
DR. REED ANDREW MORRISON PH.D.
Psychologist
711 W 40TH ST, SUITE 235
BALTIMORE, MD 21211
Baltimore City (410) 467-9822
DR. ANN-MARIE CODORI PH.D.
Psychologist (Clinical)
711 W 40TH ST, SUITE 316A
BALTIMORE, MD 21211
Baltimore City (410) 235-6588
KELLY KOSTIC PHARMD
Pharmacist
711 W 40TH ST
BALTIMORE, MD 21211
Baltimore City (410) 467-3343
DR. MADELYN JANE SIEGEL MD
Psychiatry & Neurology (Psychiatry)
711 W 40TH ST, SUITE 455
BALTIMORE, MD 21211
Baltimore City (410) 662-6877
DR. LAWRENCE T CHEN DDS
Dentist
711 W 40TH ST, STE 215
BALTIMORE, MD 21211
Baltimore City (410) 235-8525

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chae Kwak's NPI number?

The NPI number for Chae Kwak is 1174773246. It was assigned to this individual provider in the NPPES registry on September 25, 2008.

Where is Chae Kwak located?

Chae Kwak practices at 711 W 40th St Suite 230B, Baltimore, MD 21211. The listed phone number is (410) 532-3080.

What is Chae Kwak's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Chae Kwak enrolled in Medicare?

Yes. Chae Kwak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Chae Kwak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chae Kwak reassigns Medicare benefits to Family Ties Of Brunswick, LLC (Wilmington, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chae Kwak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chae Kwak accept?

Health plans from Blue Cross and Blue Shield of NC list Chae Kwak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Chae Kwak was last updated on September 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.