Active NPI
Paul J Washo, LCSW-C
- Clinical Social Worker
- Easton, MD
National Provider Identifier
1003043563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11512
- Practice address
- 29520 Canvasback Dr
Easton, MD 21601-7124 - Phone
- (410) 822-5007
- NPI assigned
- Jun 11, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11512 | MD | Primary |
Addresses
Primary practice location
29520 Canvasback Dr
Easton, MD 21601-7124
Mailing address
1113 Healthway Dr
Salisbury, MD 21804-4470
Phone (410) 334-6961
Other practice location 1
770 Port St
Easton, MD 21601-8102
Phone (410) 819-0063 ext. 305
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 259147-000 | Other | MD | MAGELLAN BEHAVIORAL HEALTH |
| 609550002 | Medicaid | MD | |
| 346646 | Other | MD | MHN/TRICARE |
| 7840093 | Other | MD | AETNA |
| R968 | Other | MD | CAREFIRST BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100910000167 | MD | Practitioner - Clinical Social Worker | 7719002054 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- For All Seasons, Inc.
Practice addresses (Care Compare)
300 Talbot St
Easton, MD 21601-3525
Phone (410) 822-1018
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11512 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| For All Seasons, Inc | Clinical | Current | Accepting new patients |
| For All Seasons, Inc. | Clinical | Past | Accepting new patients |
| Marshy Hope Family Services, LLC | Clinical | Past | Accepting new patients |
Locations
208 Cedar St
Cambridge, MD 21613
Phone (410) 476-4441
300 Talbot St
Easton, MD 21601
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1003043563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 HEALTHWAY DR",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218044470",
"telephone_number": "410-334-6961",
"fax_number": "410-334-6362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29520 CANVASBACK DR",
"city": "EASTON",
"state": "MD",
"postal_code": "216017124",
"telephone_number": "410-822-5007"
}
],
"practiceLocations": [
{
"address_1": "770 Port St",
"address_purpose": "LOCATION",
"city": "Easton",
"state": "MD",
"postal_code": "216018102",
"country_code": "US",
"telephone_number": "410-819-0063 x305",
"fax_number": "410-763-8758",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WASHO",
"first_name": "PAUL",
"middle_name": "J",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-11",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "11512",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALTH",
"identifier": "259147-000",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "609550002",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN/TRICARE",
"identifier": "346646",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7840093",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "R968",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Easton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.