Syeira Anthony, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23821 Issued in MD

Practice address

101 W Ridgely Rd
Lutherville, MD 21093-5101

Phone

(410) 935-9379

NPI assigned

Apr 21, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tidemark Intervention ServicesGroup PAC ID 7911317441, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tidemark Intervention Services

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1720595242
  Medicare reassignment Care Compare group NPD
• Tidemark Intervention Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1174235691
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1093397945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 STONE PARK PLACE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21236",
            "telephone_number": "410-935-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W RIDGELY RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935101",
            "telephone_number": "410-935-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "SYEIRA",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "23821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clifford Meredith Anderson, LCSW-C
• Andrew M. London MD,PA
• Ryan Dexter Andrews, MS, MA, RD, LDN
• Maria Andrzejewski, PA-C
• Charles Angell, M.D.
• Nicole Tamara Antoine
• Anush a John DMD MD PA
• Laura Anzaldi
• April Moran
• Melissa Archie-Burton

• Clinical Social Worker in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.