Healthcare Provider Details

I. General information

NPI: 1649047390
Provider Name (Legal Business Name): DAVID KAPLAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2023
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2270 ROLLING RUN DR STE 600
WINDSOR MILL MD
21244-1864
US

IV. Provider business mailing address

2270 ROLLING RUN DR STE 600
WINDSOR MILL MD
21244-1864
US

V. Phone/Fax

Practice location:
  • Phone: 410-265-0618
  • Fax:
Mailing address:
  • Phone: 410-265-0618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number15902
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: