Active NPI
Carrie Ann Moritz Clancy, AU.D.
- Audiologist
- Crofton, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 01636
- Practice address
- 2709 Maynard Rd
Crofton, MD 21114-3122 - Phone
- (850) 902-6830
- NPI assigned
- May 27, 2022
- Last updated
- Aug 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | DA13831 | AZ | |
| Audiologist | 231H00000X | 01636 | MD | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | DA13831 | AZ | |
| Audiologist-Hearing Aid Fitter | 237600000X | 01636 | MD |
Addresses
Primary practice location
2709 Maynard Rd
Crofton, MD 21114-3122
Mailing address
2709 Maynard Rd
Crofton, MD 21114-3122
Phone (850) 902-6830
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- University of Arizona College of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10285 Little Patuxent Pkwy
Suite 200
Columbia, MD 21044-3489
Phone (410) 760-8840
10710 Charter Dr
Suite 400
Columbia, MD 21044-3276
Phone (410) 997-7979
1132 Annapolis Rd
Odenton, MD 21113-1672
Phone (410) 760-8840
130 Hospital Rd
Suite 101
Prince Frederick, MD 20678-4029
Phone (410) 535-6975
1300 York Rd
Suite 30D
Lutherville, MD 21093-6090
Phone (443) 275-1337
802 Landmark Dr
Suite 119
Glen Burnie, MD 21061-9121
Phone (410) 760-8840
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Annapolis ENT Surgical Center LLC | Current | Accepting new patients | |
| Johns Hopkins Regional Physicians LLC | Audiologist | Current | Accepting new patients |
| Johns Hopkins Regional Physicians LLC | Current | Accepting new patients | |
| Johns Hopkins Regional Physicians LLC | Current | Accepting new patients | |
| Johns Hopkins Regional Physicians LLC | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Annapolis ENT Surgical Center, LLC | Past | Accepting new patients |
Locations
2002 Medical Pkwy
Ste 230
Annapolis, MD 21401
Phone (410) 226-3900
14201 Laurel Park Dr
Ste 115
Laurel, MD 20707
Phone (301) 490-8083
1300 York Rd
Ste 30D
Lutherville Timonium, MD 21093
Phone (443) 275-1337
130 Hospital Rd
Ste 101
Prnc Frederck, MD 20678
Phone (410) 535-2500
2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
Interoperability endpoints
- cclancy1403841@direct.hopkinsmedicine.org
Organizations & group practices 8
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.
-
dba Chesapeake Specialty Care
- Specialist
- Annapolis, MD
- NPI 1275372617
-
dba Cardiovascular Specialists of Central Maryland
- Cardiovascular Disease Physician
- Baltimore, MD
- NPI 1609195320
-
dba ENTAA Care
- Otolaryngology Physician
- Glen Burnie, MD
- NPI 1396253555
Audiologist, DC
-
dba Kaiser Permanente Annapolis Medical Center
- Health Maintenance Organization
- Annapolis, MD
- NPI 1952461816
DC
-
- Otolaryngology Physician
- Baltimore, MD
- NPI 1871353508
-
dba JHRP - 10285 Little Patuxent Pkwy Ste 200 - Provider Type: 20
- Internal Medicine Physician
- Columbia, MD
- NPI 1871454934
-
dba Kaiser Permanente Shady Grove Peritoneal Dialysis Facility
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rockville, MD
- NPI 1962108753
-
- Ambulatory Surgical Clinic/Center
- Annapolis, MD
- NPI 1629094917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1023757184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2709 MAYNARD RD",
"city": "CROFTON",
"state": "MD",
"postal_code": "211143122",
"telephone_number": "850-902-6830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2709 MAYNARD RD",
"city": "CROFTON",
"state": "MD",
"postal_code": "211143122",
"telephone_number": "850-902-6830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLANCY",
"first_name": "CARRIE ANN",
"middle_name": "MORITZ",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-27",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AZ",
"license": "DA13831",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MD",
"license": "01636",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "AZ",
"license": "DA13831",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MD",
"license": "01636",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "7821 E Calle del Minique",
"city": "Tucson",
"state": "AZ",
"country_code": "US",
"postal_code": "857507057",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Crofton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.