Individual provider Active NPI

Denise Marie McKoy, LCSW-C

  • Clinical Social Worker
  • Glen Burnie, MD
National Provider Identifier
1033776364
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27793 Issued in MD
Practice address
7413 Quantico Way
Glen Burnie, MD 21060-8796
Phone
(443) 790-2261
NPI assigned
May 22, 2019
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X G10639 MD
Clinical Social Worker 1041C0700X 27793 MD Primary

Addresses

Primary practice location

7413 Quantico Way
Glen Burnie, MD 21060-8796

Mailing address

7413 Quantico Way
Glen Burnie, MD 21060-8796
Phone (443) 790-2261

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
I20211015001692 MD Practitioner - Clinical Social Worker 8628476017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Safe Harbor Behavioral Care Chesapeake LLCGroup PAC ID 0042578171, 9 clinicians

Practice addresses (Care Compare)

2629 Riva Rd
Suite 112
Annapolis, MD 21401-7428
Phone (410) 893-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G10639MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Behavioral Care Chesapeake LLC Clinical CurrentSince Oct 1, 2021 Accepting new patients
Safe Harbor Behavioral Care, LLC Social Worker PastSince Oct 1, 2017 Accepting new patients
Safe Harbor Christian Counseling of Annapolis Inc Clinical Past Accepting new patients

Locations

108 Old Solomons Island Rd
Ste U5
Annapolis, MD 21401

2629 Riva Rd
Ste 112
Annapolis, MD 21401
Phone (410) 266-1000

1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500

120 Langley Rd N
Glen Burnie, MD 21060
Phone (410) 760-7100

710 Aquahart Rd
Glen Burnie, MD 21061
Phone (443) 303-7404

206 Pleasantview Ave
Pasadena, MD 21122

8146 Quarterfield Rd
Severn, MD 21144
Phone (443) 303-7404

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1033776364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7413 QUANTICO WAY",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210608796",
            "telephone_number": "443-790-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7413 QUANTICO WAY",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210608796",
            "telephone_number": "443-790-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKOY",
        "first_name": "DENISE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "G10639",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "27793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.