Individual provider Active NPI

Carrie B McDonald, LCSW-C

  • Social Worker
  • Lavale, MD
National Provider Identifier
1023246196
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
922 National Hwy
Lavale, MD 21502-7325
Phone
(240) 362-7294
Fax
(240) 362-7366
NPI assigned
Jun 29, 2009
Last updated
Apr 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MD Primary

Addresses

Primary practice location

922 National Hwy
Lavale, MD 21502-7325

Mailing address

922 National Hwy
Lavale, MD 21502-7325
Phone (240) 362-7294

Other identifiers 1

IdentifierTypeStateIssuer
91337500MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmcdonald257399@direct.wvuhsdirect.com Health Information Exchange (HIE)

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
I20150527001218 MD Practitioner - Clinical Social Worker 7719207117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

922 National Hwy
Lavale, MD 21502-7325
Phone (240) 362-7294

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15092MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physicians of Garrett County, LLC CurrentSince Dec 1, 2023 Accepting new patients
Chapman and Associates Health Care, LLC Current Accepting new patients
Specialty Physicians of Garrett County, LLC CurrentSince Dec 1, 2023 Accepting new patients

Locations

922 National Hwy
Lavale, MD 21502
Phone (240) 362-7294

922 National Hwy
Ste 2
Lavale, MD 21502
Phone (240) 362-7294

880 Memorial Dr
Lowr Level
Oakland, MD 21550
Phone (301) 334-1177

Interoperability endpoints

  • Direct secure messaging: cmcdonald257399@direct.wvuhsdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1023246196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 NATIONAL HWY",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027325",
            "telephone_number": "240-362-7294",
            "fax_number": "240-362-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 NATIONAL HWY",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027325",
            "telephone_number": "240-362-7294",
            "fax_number": "240-362-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "CARRIE",
        "middle_name": "B",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91337500",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmcdonald257399@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "922 National Hwy",
            "city": "Lavale",
            "state": "MD",
            "country_code": "US",
            "postal_code": "215027325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lavale, MD

Sources for this page

Verify at the official NPI Registry.