MRS. MARY E KAUL-BLACK LCSW C
NPI 1215006598
Social Worker - Clinical in Berlin, MD
About Mrs. Mary E Kaul-black Lcsw C NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MARY E KAUL-BLACK LCSW C (NPI 1215006598) is an individual clinical provider in Berlin, Maryland, licensed in Maryland (11018) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 13
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Mary E Kaul-black Lcsw C is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mary Kaul-black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Berlin, MD 21811
- Reassigned Medicare billing, Maryland enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21811 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BERLIN, MD 21811
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 Mary Kaul-black's NPI number?
The NPI number for Mary Kaul-black is 1215006598. It was assigned to this individual provider in the NPPES registry on November 8, 2006.
Where is Mary Kaul-black located?
Mary Kaul-black practices at 314 Franklin Ave Suite 306, Berlin, MD 21811. The listed phone number is (410) 973-2525.
What is Mary Kaul-black's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Mary Kaul-black enrolled in Medicare?
Yes. Mary Kaul-black is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mary Kaul-black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Kaul-black reassigns Medicare benefits to Seaside Counseling & Wellness Center, LLC. (Berlin, MD). 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 Mary Kaul-black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mary Kaul-black was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Mary E Kaul-Black, LCSW C · NPI 1215006598
Clinical provider in Berlin, Maryland. Individual provider, active in the CMS NPPES registry since November 8, 2006.
## Identity
- **NPI:** 1215006598 (Entity type: Individual)
- **Enumerated:** November 8, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 11018 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 314 FRANKLIN AVE, SUITE 306, Berlin, MD 21811
- **Phone:** (410) 973-2525 · **Fax:** (410) 973-2527
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Seaside Counseling & Wellness Center, LLC. (NPI 1780935239, Berlin, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** May 6, 2021
- **Other identifiers:** Other 522156095 (MD); Other 2101170; Other 522156095 (MD); and 10 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1215006598) · Data from the CMS NPPES public registry.