Individual provider Active NPI

Mary Yvonne Ayers, PH.D., LCSW-C

  • Clinical Social Worker
  • Great Mills, MD
National Provider Identifier
1073783742
Registry record updated Mar 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06880 Issued in MD
Practice address
22330 Chancellors Run Rd Unit E
Great Mills, MD 20634-2423
Phone
(301) 863-5797
NPI assigned
Mar 9, 2008
Last updated
Mar 9, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2008

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 06880 MD Primary

Addresses

Primary practice location

22330 Chancellors Run Rd Unit E
Great Mills, MD 20634-2423

Mailing address

PO Box 226
Great Mills, MD 20634-0226
Phone (301) 863-5797

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
I20151202001432 MD Practitioner - Clinical Social Worker 3678873361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

90 Holiday Dr
Suite D 2
Solomons, MD 20688-3138
Phone (301) 495-9001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Y Ayers, PHD,LCSW-C,LLC Clinical CurrentSince Sep 13, 2015 Accepting new patients

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": "1205020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205020800000",
    "number": "1073783742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 226",
            "city": "GREAT MILLS",
            "state": "MD",
            "postal_code": "206340226",
            "telephone_number": "301-863-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22330 CHANCELLORS RUN RD UNIT E",
            "city": "GREAT MILLS",
            "state": "MD",
            "postal_code": "206342423",
            "telephone_number": "301-863-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYERS",
        "first_name": "MARY",
        "middle_name": "YVONNE",
        "credential": "PH.D., LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-09",
        "last_updated": "2008-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "06880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Mills, MD

Sources for this page

Verify at the official NPI Registry.