Active NPI
James Siegman, LCSW-C
- Clinical Social Worker
- Easton, MD
National Provider Identifier
1033540406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19045
- Practice address
- 29446 Hemlock LN
Easton, MD 21601-4885 - Phone
- (410) 822-5007
- Fax
- (410) 822-5569
- NPI assigned
- Dec 10, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 19045 | MD | |
| Clinical Social Worker | 1041C0700X | 19045 | MD | Primary |
Addresses
Primary practice location
29446 Hemlock LN
Easton, MD 21601-4885
Mailing address
29446 Hemlock LN
Easton, MD 21601-4885
Phone (410) 334-6961
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 742L | Other | MD | NOVITAS/MEDICARE |
| 609550002 | Medicaid | MD | |
| 346646 | Other | MD | MHN/TRICARE |
| R968 | Other | MD | CAREFIRST |
| 522156095 | Other | MD | COMMERCIAL INSURANCE |
| 259147-000 | Other | MD | MAGELLAN BEHAVIORAL HEALTH |
| 7840093 | Other | MD | AETNA |
| 517251 | Other | MD | OPTUM |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
29315 Erickson Dr
Easton, MD 21601-8651
Phone (410) 690-8181
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19045 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peace of Mind Mental Health Services LLC | Clinical | Current | Accepting new patients |
Locations
29315 Erickson Dr
Easton, MD 21601
Phone (410) 690-8181
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585267200000",
"number": "1033540406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29446 HEMLOCK LN",
"city": "EASTON",
"state": "MD",
"postal_code": "216014885",
"telephone_number": "410-334-6961",
"fax_number": "410-334-6362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29446 HEMLOCK LN",
"city": "EASTON",
"state": "MD",
"postal_code": "216014885",
"telephone_number": "410-822-5007",
"fax_number": "410-822-5569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGMAN",
"first_name": "JAMES",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-10",
"last_updated": "2020-03-27",
"certification_date": "2020-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "19045",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "19045",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOVITAS/MEDICARE",
"identifier": "742L",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "609550002",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN/TRICARE",
"identifier": "346646",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "R968",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL INSURANCE",
"identifier": "522156095",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALTH",
"identifier": "259147-000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7840093",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTUM",
"identifier": "517251",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Easton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.
- 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.