Individual provider Active NPI

Marjorie Gail Falk, LCSWC MA ADTR

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1013974526
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
08872 Issued in MD
Practice address
204 E Joppa Road #PH5
Baltimore, MD 21286
Phone
(410) 913-3565
Fax
(410) 825-2979
NPI assigned
Apr 27, 2006
Reactivated
Mar 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 08872 MD Primary

Addresses

Primary practice location

204 E Joppa Road #PH5
Baltimore, MD 21286

Mailing address

204 E Joppa Road #PH5
Baltimore, MD 21286
Phone (410) 913-3565

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050629001261 MD Practitioner - Clinical Social Worker 8426094434 Practice locations: Towson, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

28 Allegheny Ave
Towson, MD 21204-3919
Phone (410) 913-3565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
08872MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tawny Robinson, LCPC Past Accepting new patients
Marjorie Gail Falk, Clinical PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 2

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1013974526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E JOPPA ROAD #PH5",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21286",
            "telephone_number": "410-913-3565",
            "fax_number": "410-825-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E JOPPA ROAD #PH5",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21286",
            "telephone_number": "410-913-3565",
            "fax_number": "410-825-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALK",
        "first_name": "MARJORIE",
        "middle_name": "GAIL",
        "credential": "LCSWC MA ADTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2011-03-24",
        "deactivation_date": "2007-04-16",
        "reactivation_date": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "08872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.