Individual provider Active NPI

Felix Nathan, LCSW-C

  • Clinical Social Worker
  • Cambridge, MD
National Provider Identifier
1093811044
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13006 Issued in MD
Practice address
813 Chesapeake Dr Ste 1
Cambridge, MD 21613
Phone
(410) 221-2266
Fax
(410) 221-2878
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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 13006 MD Primary

Addresses

Primary practice location

813 Chesapeake Dr Ste 1
Cambridge, MD 21613

Mailing address

813 Chesapeake Dr Ste 1
Cambridge, MD 21613-9405
Phone (410) 221-2266

Other practice location 1

813 Chesapeake Dr Ste 1
Cambridge, MD 21613
Phone (410) 221-2266

Other identifiers 2

IdentifierTypeStateIssuer
479302100MedicaidMD
367255700MedicaidMD

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
I20070228000120 MD Practitioner - Clinical Social Worker 4789786328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Oklahoma College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Marshy Hope Family Services, LLCGroup PAC ID 6800840703, 8 clinicians

Practice addresses (Care Compare)

813 Chesapeake Dr
Suite 1
Cambridge, MD 21613-9405
Phone (410) 221-2266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marshy Hope Family Services, LLC Clinical CurrentSince Dec 8, 2006 Accepting new patients
For All Seasons, Inc Clinical Past Accepting new patients
For All Seasons, Inc. Clinical Past Accepting new patients

Locations

813 Chesapeake Dr
Ste 1
Cambridge, MD 21613
Phone (410) 221-2266

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1093811044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 CHESAPEAKE DR STE 1",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216139405",
            "telephone_number": "410-221-2266",
            "fax_number": "410-221-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 CHESAPEAKE DR STE 1",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "21613",
            "telephone_number": "410-221-2266",
            "fax_number": "410-221-2878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "813 Chesapeake Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MD",
            "postal_code": "21613",
            "country_code": "US",
            "telephone_number": "410-221-2266",
            "fax_number": "410-221-2878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "FELIX",
        "name_prefix": "Mr.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "479302100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "367255700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

Verify at the official NPI Registry.