Individual provider Active NPI

Christine Ann Cronin, LCSW-C

  • Clinical Social Worker
  • Owings Mills, MD
National Provider Identifier
1194762096
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
07654 Issued in MD
Practice address
3506 Gwynnbrook Ave
Owings Mills, MD 21117-1409
Phone
(410) 843-7440
Fax
(410) 664-0115
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

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 07654 MD Primary

Addresses

Primary practice location

3506 Gwynnbrook Ave
Owings Mills, MD 21117-1409

Mailing address

3506 Gwynnbrook Ave
Owings Mills, MD 21117-1409
Phone (410) 843-7440

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
I20100701000292 MD Practitioner - Clinical Social Worker 0648301861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jewish Community Services IncGroup PAC ID 0345141362, 12 clinicians

Practice addresses (Care Compare)

3506 Gwynnbrook Ave
Owings Mills, MD 21117-1409
Phone (410) 466-9200

5750 Park Heights Ave
Baltimore, MD 21215-3930
Phone (410) 466-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07654MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Community Services, Inc Clinical CurrentSince May 21, 2001 Accepting new patients

Locations

5750 Park Heights Ave
Baltimore, MD 21215
Phone (410) 466-9200

3506 Gwynnbrook Ave
Owings Mills, MD 21117
Phone (410) 466-9200

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1194762096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 GWYNNBROOK AVE",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171409",
            "telephone_number": "410-843-7440",
            "fax_number": "140-664-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 GWYNNBROOK AVE",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171409",
            "telephone_number": "410-843-7440",
            "fax_number": "410-664-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONIN",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "07654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.