Individual provider Active NPI

Tangela Tamerin Carthy, LCSW

  • Social Worker
  • Windsor Mill, MD
National Provider Identifier
1174398143
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
28691 Issued in MD
Practice address
104 Longpine PL Apt 3C
Windsor Mill, MD 21244-1335
Phone
(443) 271-0939
NPI assigned
Nov 20, 2023
Last updated
Nov 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 28691 MD Primary

Addresses

Primary practice location

104 Longpine PL Apt 3C
Windsor Mill, MD 21244-1335

Mailing address

104 Longpine PL Apt 3C
Baltimore, MD 21244-1335
Phone (443) 271-0939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
28691MDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1174398143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 LONGPINE PL APT 3C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212441335",
            "telephone_number": "443-271-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 LONGPINE PL APT 3C",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212441335",
            "telephone_number": "443-271-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTHY",
        "first_name": "TANGELA",
        "middle_name": "TAMERIN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "28691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Mill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.