Mary Bridget Choudhary, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

8504 Mapleville Rd
Boonsboro, MD 21713-1817

Phone

(301) 733-9067

NPI assigned

Aug 22, 2017

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Mar Children'S HomeGroup PAC ID 4688951254, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• San Mar Children'S Home

  • Clinical Social Worker
  • Boonsboro, MD
  • NPI 1659739720
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1164948006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8504 MAPLEVILLE RD",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217131817",
            "telephone_number": "240-344-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8504 MAPLEVILLE RD",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217131817",
            "telephone_number": "301-733-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUDHARY",
        "first_name": "MARY",
        "middle_name": "BRIDGET",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boonsboro Wellness Center, Inc.
• Jessica Nichole Brangaccio, LCSW-C
• Brinton Woods of Boonsboro, LLC
• Brinton Woods of Boonsboro, LLC
• Kristen Byers
• Daniel Louis Citro, PHARMD
• Celeste C Crum
• Elisa Rochelle Dalupang, PT
• Daniel C. McEowen DDS PC
• Daniel C. McEowen DDS, PC

• Clinical Social Worker in Boonsboro, MD
• Providers in Boonsboro, 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 Feb 27, 2023; 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.