Individual provider Active NPI

Mary June McGinnis, MSW, LCSW-C

  • Clinical Social Worker
  • Cambridge, MD
National Provider Identifier
1063593747
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
03236 Issued in MD
Practice address
813-1 Chesapeake Drive
Cambridge, MD 21613-9401
Phone
(410) 221-2266
Fax
(410) 221-2878
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 03236 MD Primary

Addresses

Primary practice location

813-1 Chesapeake Drive
Cambridge, MD 21613-9401

Mailing address

813-1 Chesapeake Drive
Cambridge, MD 21613-9401
Phone (410) 221-2266

Other identifiers 10

IdentifierTypeStateIssuer
202090OtherMDCOMPSYCH
7592348/7730155OtherMDAETNA GRP/IND
F7930002OtherMDBCBS- FEDERAL
388898OtherMDALLIANCE
PVPB200563OtherMDCOVENTRY
2062931OtherMDCIGNA
249799-000OtherMDMAGELLAN
479302100MedicaidMD
KBM960580301OtherMDBCBS
725227OtherMDNCPPO

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
I20101022000598 MD Practitioner - Clinical Social Worker 2961416516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Marshy Hope Family Services, LLCGroup PAC ID 6800840703, 8 clinicians

Practice addresses (Care Compare)

813 -1 Chesapeake Dr
Cambridge, MD 21613-9405

813 Chesapeake Dr
Suite 1
Cambridge, MD 21613-9405
Phone (410) 221-2266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marshy Hope Family Services, LLC Clinical CurrentSince Jun 1, 2002 Accepting new patients

Locations

813 Chesapeake Dr
Ste 1
Cambridge, MD 21613
Phone (410) 221-2266

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1063593747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813-1 CHESAPEAKE DRIVE",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216139401",
            "telephone_number": "410-221-2266",
            "fax_number": "410-221-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813-1 CHESAPEAKE DRIVE",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216139401",
            "telephone_number": "410-221-2266",
            "fax_number": "410-221-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINNIS",
        "first_name": "MARY",
        "middle_name": "JUNE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "03236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "202090",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GRP/IND",
            "identifier": "7592348/7730155",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS- FEDERAL",
            "identifier": "F7930002",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "388898",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "PVPB200563",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2062931",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "249799-000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "479302100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "KBM960580301",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "725227",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

Verify at the official NPI Registry.