Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Mary E Kaul-Black, LCSWC

Individual provider Clinical Social Worker · NPI 1215006598

Mrs. Mary E Kaul-Black, LCSWC is a Clinical Social Worker in Berlin, Maryland. Qualified in 1998, 28 years ago. Practices with Seaside Counseling and Wellness Center, LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
28
Licensed in
MD
In the registry since
2006

Practice location Address checks out

314 Franklin Ave Ste 306
Berlin, MD 21811
Phone: (410) 973-2525
Fax: (410) 973-2527
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 11018 (MD)

Record details

NPI number1215006598
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWC
Sole proprietorNo
NPI enumeratedNovember 8, 2006
Last updated in NPPESMay 6, 2021
Certification dateMay 6, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Seaside Counseling And Wellness Center, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Berlin