Individual provider Active NPI

Michele Tormollan, LCSWC

  • Clinical Social Worker
  • Bel Air, MD
National Provider Identifier
1184033953
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19868 Issued in MD
Practice address
260 Gateway Dr Ste 19B
Bel Air, MD 21014-4203
Phone
(410) 762-4374
NPI assigned
Aug 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 19868 MD
Clinical Social Worker 1041C0700X 19868 MD Primary

Addresses

Primary practice location

260 Gateway Dr Ste 19B
Bel Air, MD 21014-4203

Mailing address

PO Box 144
Forest Hill, MD 21050-0144
Phone (410) 399-9000

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
I20180419000196 MD Practitioner - Clinical Social Worker 0941563290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harford Crisis Center IncGroup PAC ID 6002726007, 22 clinicians

Practice addresses (Care Compare)

802 Baltimore Pike
Suite a
Bel Air, MD 21014-4212
Phone (443) 643-3464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19868MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Harford Crisis Center, Inc. CurrentSince Jan 1, 2025 Accepting new patients
MC Counseling Inc Clinical CurrentSince Sep 14, 2025 Accepting new patients
The Calvert Harris Foundation Inc Clinical PastSince Nov 29, 2020 Accepting new patients

Locations

802 Baltimore Pike
#A
Bel Air, MD 21014
Phone (443) 643-2422

260 Gateway Dr
Ste 19B
Bel Air, MD 21014
Phone (410) 762-4374

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1184033953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210500144",
            "telephone_number": "410-399-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 GATEWAY DR STE 19B",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144203",
            "telephone_number": "410-762-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORMOLLAN",
        "first_name": "MICHELE",
        "credential": "LCSWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "19868",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.