Provider Demographics
NPI:1851263388
Name:SUTTON, KACI (LMSW)
Entity type:Individual
Prefix:MS
First Name:KACI
Middle Name:
Last Name:SUTTON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3309 HAMPTON POINT DR APT L
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-4866
Mailing Address - Country:US
Mailing Address - Phone:703-919-4450
Mailing Address - Fax:
Practice Address - Street 1:3309 HAMPTON POINT DR APT L
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-4866
Practice Address - Country:US
Practice Address - Phone:703-919-4450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-23
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD28733104100000X, 1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool