Individual provider Active NPI

Donna L Rice, LCSW-C, LICSW, MAC

  • Clinical Social Worker
  • Cumberland, MD
National Provider Identifier
1083924518
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15489 Issued in MD
Practice address
514 Avirett Ave
Cumberland, MD 21502-3311
Phone
(301) 722-5500
Fax
(301) 722-0500
NPI assigned
Oct 18, 2010
Last updated
Jan 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 15489 MD Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 27026 MD

Addresses

Primary practice location

514 Avirett Ave
Cumberland, MD 21502-3311

Mailing address

514 Avirett Ave
Cumberland, MD 21502-3311
Phone (240) 291-4251

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
I20150904000688 MD Practitioner - Clinical Social Worker 1759697766 Practice locations: Cumberland, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

514 Avirett Ave
Cumberland, MD 21502-3311
Phone (240) 291-4251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27026MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Counseling Addiction (Substance Use Disorder) CurrentSince Jul 4, 2015 Accepting new patients

Locations

118 Valley St
Cumberland, MD 21502
Phone (301) 722-5500

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": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1083924518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 AVIRETT AVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023311",
            "telephone_number": "240-291-4251",
            "fax_number": "301-722-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 AVIRETT AVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023311",
            "telephone_number": "301-722-5500",
            "fax_number": "301-722-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "DONNA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW-C, LICSW, MAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15489",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "27026",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.