Individual provider Active NPI

Anne Virginia McCauley, MSW, LCSW-C

  • Clinical Social Worker
  • Easton, MD
National Provider Identifier
1144554064
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18540 Issued in MD
Practice address
111 N West St Ste H
Easton, MD 21601-2760
Phone
(443) 906-3655
NPI assigned
Sep 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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 18540 MD Primary

Addresses

Primary practice location

111 N West St Ste H
Easton, MD 21601-2760

Mailing address

127 Long Creek Way
Centreville, MD 21617-2770
Phone (410) 924-8254

Other identifiers 3

IdentifierTypeStateIssuer
609550004MedicaidMD
609550002MedicaidMD
609550001MedicaidMD

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
I20220922001667 MD Practitioner - Clinical Social Worker 1254716509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8707 Commerce Dr
Suite D
Easton, MD 21601-6910
Phone (443) 906-3655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18540MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Mindsets LLC Clinical CurrentSince Jun 1, 2022 Accepting new patients

Locations

8707 Commerce Dr
Ste D
Easton, MD 21601
Phone (443) 906-3655

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1144554064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 LONG CREEK WAY",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216172770",
            "telephone_number": "410-924-8254",
            "fax_number": "410-924-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WEST ST STE H",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216012760",
            "telephone_number": "443-906-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAULEY",
        "first_name": "ANNE",
        "middle_name": "VIRGINIA",
        "credential": "MSW, LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609550004",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609550002",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609550001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.