Active NPI
Cassie Mariscal, LCSW-C
- Clinical Social Worker
- Glen Burnie, MD
National Provider Identifier
1063760163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 22399
- Practice address
- 200 Hospital Dr
Suite 300
Glen Burnie, MD 21061-5884 - Phone
- (410) 837-2050
- Fax
- (410) 234-8177
- NPI assigned
- Aug 21, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 081585 | NY | |
| Clinical Social Worker | 1041C0700X | 22399 | MD | Primary |
Addresses
Primary practice location
200 Hospital Dr
Suite 300
Glen Burnie, MD 21061-5884
Mailing address
3020 Fallstaff Manor CT
Baltimore, MD 21209-2818
Phone (215) 300-5031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081585 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514851200000",
"number": "1063760163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 FALLSTAFF MANOR CT",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212092818",
"telephone_number": "215-300-5031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HOSPITAL DR",
"address_2": "SUITE 300",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615884",
"telephone_number": "410-837-2050",
"fax_number": "410-234-8177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARISCAL",
"first_name": "CASSIE",
"name_prefix": "Ms.",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-21",
"last_updated": "2018-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "081585",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "22399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
- Dorine Marcellus
- Avron Marcus, M.D.
- Marcy Transportation Services LLC
- Marian'S Manor Alternative Living and Community Resources, Inc
- Lakshmi Madhumathi Marimuthu, MD
- Mark W. Preslan, M.D., LLC
- Markan Medical Associates Inc
- Yudhishtra Markan, M.D.
- Nevin K. Markel, D.C.
- Amanda Laura Markie, MS, RDN, LD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.