Individual provider Active NPI

Lindsey Alexandra Weller, LCSW-C

  • Clinical Social Worker
  • Catonsville, MD
National Provider Identifier
1073007910
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23162 Issued in MD
Practice address
516 N Rolling Rd Ste 305
Catonsville, MD 21228-4142
Phone
(443) 203-9774
NPI assigned
Jun 14, 2018
Last updated
Feb 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 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 23162 MD
Clinical Social Worker 1041C0700X 23162 MD Primary

Addresses

Primary practice location

516 N Rolling Rd Ste 305
Catonsville, MD 21228-4142

Mailing address

1707 Tennyson CT
Salisbury, MD 21801-3272
Phone (443) 203-9774

Other practice location 1

505 E Main St
Salisbury, MD 21804-5020
Phone (410) 341-3420

Other identifiers 2

IdentifierTypeStateIssuer
23162OtherMDSOCIAL WORK LICENSE
383841200MedicaidMD

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
I20230124000033 MD Practitioner - Clinical Social Worker 4688045016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Care for the Homeless, IncGroup PAC ID 1456452382, shared by 3 NPIs, 21 clinicians

Practice addresses (Care Compare)

421 Fallsway
Baltimore, MD 21202-4800
Phone (410) 837-5533

516 N Rolling Rd
Catonsville, MD 21228-4142
Phone (443) 203-9774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Recovery LLC Clinical CurrentSince Mar 10, 2024 Accepting new patients

Locations

516 N Rolling Rd
Catonsville, MD 21228
Phone (240) 397-9187

516 N Rolling Rd
Ste 305
Catonsville, MD 21228
Phone (240) 245-6948

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, 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": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1073007910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 TENNYSON CT",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218013272",
            "telephone_number": "443-203-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 N ROLLING RD STE 305",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284142",
            "telephone_number": "443-203-9774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 E Main St",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218045020",
            "country_code": "US",
            "telephone_number": "410-341-3420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLER",
        "first_name": "LINDSEY",
        "middle_name": "ALEXANDRA",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "23162",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "23162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE",
            "identifier": "23162",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "383841200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.