Active NPI
Mary Ann Bleeke, LCSW-C, CEAP
- Clinical Social Worker
- Annapolis, MD
National Provider Identifier
1023335346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12632
- Practice address
- 716 Giddings Ave
Suite 33
Annapolis, MD 21401-1418 - Phone
- (410) 980-0515
- NPI assigned
- Apr 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 12632 | MD | Primary |
Addresses
Primary practice location
716 Giddings Ave
Suite 33
Annapolis, MD 21401-1418
Mailing address
716 Giddings Ave
Suite 33
Annapolis, MD 21401-1418
Phone (410) 980-0515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12632 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Hospital, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272240000000",
"number": "1023335346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 GIDDINGS AVE",
"address_2": "SUITE 33",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214011418",
"telephone_number": "410-980-0515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 GIDDINGS AVE",
"address_2": "SUITE 33",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214011418",
"telephone_number": "410-980-0515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEEKE",
"first_name": "MARY ANN",
"credential": "LCSW-C, CEAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-26",
"last_updated": "2010-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "12632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.