Mary McDaniel, CSW
Individual provider Active NPI Clinical Social Worker · Maysville, KY
NPI 1124473186 · NPPES record last updated Jan 30, 2018
Key facts
- NPI
- 1124473186
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 253103 (KY)
- Practice address
- 611 Forest Ave
Maysville, KY 41056-1411 - Phone
- (606) 564-4016
- Fax
- (606) 564-8288
- NPI assigned
- Apr 27, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- University of Kentucky College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Comprehend Inc Regional Mental Health- Mental Retardation Board Inc
Practice addresses (Care Compare)
611 Forest Ave
Maysville, KY 41056-1411
Phone (606) 564-2744
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180301002056 | KY | Practitioner - Clinical Social Worker | 4486915048 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 253103 | KY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 253103 | KY | Yes |
Addresses
Primary practice location
611 Forest Ave
Maysville, KY 41056-1411
Mailing address
611 Forest Ave
Maysville, KY 41056-1411
Phone (606) 564-4016
NPI Registry JSON
{
"created_epoch": "1461715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517270400000",
"number": "1124473186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 FOREST AVE",
"city": "MAYSVILLE",
"state": "KY",
"postal_code": "410561411",
"telephone_number": "606-564-4016",
"fax_number": "606-564-8288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 FOREST AVE",
"city": "MAYSVILLE",
"state": "KY",
"postal_code": "410561411",
"telephone_number": "606-564-4016",
"fax_number": "606-564-8288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "MARY",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-27",
"last_updated": "2018-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "253103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maysville, KY
- Jennifer McCatherine
- Sandra McClain
- Holly McCord
- Susan L McCoy
- Theresa McCoy
- McDowell & Faris, DMD, LLC
- John G McDowell
- Melany McElfresh
- McFarland Nursing Supplies
- Julie Key McKay
All providers in Maysville, KY · Clinical Social Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.