Annette O Hackey-Runion, LCSW-C

Primary specialty

Social WorkerTaxonomy code 104100000X

License

17084 Issued in MD

Practice address

15904 Manahan Rd
Sabillasville, MD 21780-8403

Phone

(240) 688-7008

NPI assigned

Aug 3, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, DC

  Medicare reassignment NPD
• Life Directions, LLC

  • Clinical Social Worker
  • Hagerstown, MD
  • NPI 1528314333
  NPD (past)

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1023364494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15904 MANAHAN RD",
            "city": "SABILLASVILLE",
            "state": "MD",
            "postal_code": "217808403",
            "telephone_number": "240-688-7008",
            "fax_number": "301-668-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15904 MANAHAN RD",
            "city": "SABILLASVILLE",
            "state": "MD",
            "postal_code": "217808403",
            "telephone_number": "240-688-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKEY-RUNION",
        "first_name": "ANNETTE",
        "middle_name": "O",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17084",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "17084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonya Anthony, SCAD-TRAINEE
• Charles Richard Avey, CACAD
• Joel Grinder
• Jamila Pennyman, NP
• Cherryl Ann Peterson, PHARMD
• Jonathan Walter Sears
• Deborah Nina Smith, CRNP
• The Orenda Center for Wellness

• Social Worker in Sabillasville, MD
• Providers in Sabillasville, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.