Individual provider Active NPI

Rebecca Wrotny, LCSW-C, CSAC

  • Mental Health Counselor
  • Millersville, MD
National Provider Identifier
1033622360
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17027 Issued in MD
Practice address
1111 Benfield Blvd Ste 104
Millersville, MD 21108-3003
Phone
(667) 600-2494
Fax
(410) 729-8496
NPI assigned
Nov 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 17027 MD Primary

Addresses

Primary practice location

1111 Benfield Blvd Ste 104
Millersville, MD 21108-3003

Mailing address

1111 Benfield Blvd Ste 104
Millersville, MD 21108-3003
Phone (667) 600-2494

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
I20180724003074 MD Practitioner - Clinical Social Worker 2163779984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Catholic Charities IncGroup PAC ID 8527101351, 42 clinicians

Practice addresses (Care Compare)

1111 Benfield Blvd
Suite 104
Millersville, MD 21108-3003
Phone (667) 600-2494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17027MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Catholic Charities, Inc CurrentSince Jun 16, 2018 Accepting new patients
Associated Catholic Charities, Inc. CurrentSince Jun 16, 2018 Accepting new patients
Associated Catholic Charities, Inc. Single Specialty Current Accepting new patients

Locations

2700 Washington Ave
Lansdowne, MD 21227
Phone (667) 600-3984

1111 Benfield Blvd
Ste 104
Millersville, MD 21108
Phone (410) 729-8494

2300 Dulaney Valley Rd
Ste B
Timonium, MD 21093

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1033622360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 BENFIELD BLVD STE 104",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211083003",
            "telephone_number": "667-600-2494",
            "fax_number": "410-729-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 BENFIELD BLVD STE 104",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211083003",
            "telephone_number": "667-600-2494",
            "fax_number": "410-729-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WROTNY",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "17027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersville, MD

Sources for this page

Verify at the official NPI Registry.