Marcie Koenig, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09590 Issued in MD

Practice address

8850 Columbia 100 Pkwy Ste 203
Columbia, MD 21045-2376

Phone

(443) 546-4476

NPI assigned

May 24, 2022

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2024 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1174261663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12138 PATAPSCO RIDGE RD",
            "city": "MARRIOTTSVILLE",
            "state": "MD",
            "postal_code": "211041424",
            "telephone_number": "443-756-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8850 COLUMBIA 100 PKWY STE 203",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452376",
            "telephone_number": "443-546-4476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12138 Patapsco Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Marriottsville",
            "state": "MD",
            "postal_code": "211041424",
            "country_code": "US",
            "telephone_number": "443-756-8645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "MARCIE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Knox
• Anastasia Koch
• Rebecca Koch
• Janet Marie Koelsch, LCSW-C
• Christopher Koenig, M.A., BCBA, LBA
• David Kohn, CRNP-PMH
• Brian C Kok, PHD
• Augusta M Koker, FNP -BC
• Louis Kokkinakos, M.D.
• Praise Kolajo

• Clinical Social Worker in Columbia, MD
• Providers in Columbia, 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 May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.