KATHRYN DERAFFELE LCPAT
NPI 1336650241
Counselor - Professional in Baltimore, MD

Q: What is Kathryn Deraffele's NPI number?

The NPI number for Kathryn Deraffele is 1336650241. It was assigned to this individual provider in the NPPES registry on October 18, 2017.

Q: What is Kathryn Deraffele's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Kathryn Deraffele was last updated on October 18, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 18, 2017PECOS Enrolled

5820 YORK RD STE 201, BALTIMORE, MD 21212(410) 800-2169 Get Directions Write a Review

NPPES record last updated: October 18, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kathryn Deraffele Lcpat NPPES

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

KATHRYN DERAFFELE LCPAT (NPI 1336650241) is an individual professional provider in Baltimore, Maryland, licensed in Maryland (ATC914) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1336650241

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKATHRYN DERAFFELECredential: LCPAT

Location Address5820 YORK RD STE 201Baltimore, MD 21212-3620

Mailing Address5820 York Rd Ste 201Baltimore, MD 21212-3620 · (410) 800-2169

Phone(410) 800-2169

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateOctober 18, 2017

✔ NPI 1336650241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MD · ATC914

5820 YORK RD STE 201, Baltimore, MD 21212

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Deraffele Lcpat is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587179940

PECOS Enrollment IDI20250715000785

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.

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.

KATHLEEN FANONE LCSW-C

Social Worker (Clinical)