Individual provider Active NPI

Wanda Binns, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1083904478
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06469 Issued in MD
Practice address
419 W Redwood St
Ste 570
Baltimore, MD 21201-1734
Phone
(410) 328-6106
NPI assigned
Apr 19, 2011
Last updated
Apr 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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 06469 MD Primary

Addresses

Primary practice location

419 W Redwood St
Ste 570
Baltimore, MD 21201-1734

Mailing address

419 W Redwood St
Ste 570
Baltimore, MD 21201-1734
Phone (410) 328-6106

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
I20140211000050 MD Practitioner - Clinical Social Worker 8123257391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Group Faculty Practice LLCGroup PAC ID 5799671533, 6 clinicians

Practice addresses (Care Compare)

419 W Redwood St
Suite 570
Baltimore, MD 21201-7023
Phone (667) 214-1909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06469MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Group Faculty Practice LLC CurrentSince Nov 2, 2013 Accepting new patients

Locations

419 W Redwood St
Ste 570
Baltimore, MD 21201
Phone (410) 328-6106

3355 Saint Johns Ln
Ste J
Ellicott City, MD 21042
Phone (410) 324-3883

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": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1083904478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 W REDWOOD ST",
            "address_2": "STE 570",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011734",
            "telephone_number": "410-328-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W REDWOOD ST",
            "address_2": "STE 570",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011734",
            "telephone_number": "410-328-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINNS",
        "first_name": "WANDA",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "06469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.