Individual provider Active NPI

Bruce Allen Storms, LCSW-C

  • Clinical Social Worker
  • Annapolis, MD
National Provider Identifier
1093722449
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09722 Issued in MD
Practice address
108 Old Solomons Island Rd
Suite U-7
Annapolis, MD 21401-3845
Phone
(410) 841-5099
Fax
(410) 266-6278
NPI assigned
Aug 1, 2006
Last updated
Aug 12, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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 09722 MD Primary

Addresses

Primary practice location

108 Old Solomons Island Rd
Suite U-7
Annapolis, MD 21401-3845

Mailing address

108 Old Solomons Island Rd
Suite U-7
Annapolis, MD 21401-3845
Phone (410) 841-5099

Other identifiers 1

IdentifierTypeStateIssuer
644651500MedicaidMD

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
I20050713000519 MD Practitioner - Clinical Social Worker 4880620608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

44 N Potomac St
Suite 101
Hagerstown, MD 21740-3301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09722MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Change Health Systems, Inc CurrentSince Jan 1, 2011 Accepting new patients
Change Health Systems Inc CurrentSince Jan 1, 2011 Accepting new patients
Change Health Systems, Inc Current Accepting new patients

Locations

2401 Liberty Heights Ave
Ste 4670
Baltimore, MD 21215
Phone (410) 233-1088

44 N Potomac St
Ste 101
Hagerstown, MD 21740
Phone (240) 347-1403

Organizations & group practices 3

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250035200000",
    "number": "1093722449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 OLD SOLOMONS ISLAND RD",
            "address_2": "SUITE U-7",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013845",
            "telephone_number": "410-841-5099",
            "fax_number": "410-266-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 OLD SOLOMONS ISLAND RD",
            "address_2": "SUITE U-7",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013845",
            "telephone_number": "410-841-5099",
            "fax_number": "410-266-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORMS",
        "first_name": "BRUCE",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2009-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "644651500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.