Individual provider Active NPI

Constance Muller-Thym, LCSW-C

  • Clinical Social Worker
  • North East, MD
National Provider Identifier
1215103254
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12738 Issued in MD
Practice address
101 Mill LN
North East, MD 21901-3923
Phone
(410) 287-6569
Fax
(410) 287-8949
NPI assigned
Apr 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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 12738 MD Primary

Addresses

Primary practice location

101 Mill LN
North East, MD 21901-3923

Mailing address

101 Mill LN
North East, MD 21901-3923
Phone (410) 287-6569

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
I20110804000191 MD Practitioner - Clinical Social Worker 4880863083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Resolution Services IncGroup PAC ID 3971772179, 2 clinicians

Practice addresses (Care Compare)

101 Mill LN
North East, MD 21901-3923
Phone (410) 287-6569

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Resolution Services, Inc. Clinical CurrentSince Jun 19, 2011 Accepting new patients
Resolution Services, Inc. Clinical CurrentSince Jun 11, 2011 Accepting new patients

Locations

205 E Main St
Ste 104
Elkton, MD 21921

102 Old Mill Plz
North East, MD 21901
Phone (410) 287-6569

101 Mill Ln
North East, MD 21901
Phone (410) 287-6569

Organizations & group practices 2

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": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1215103254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MILL LN",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "219013923",
            "telephone_number": "410-287-6569",
            "fax_number": "410-287-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MILL LN",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "219013923",
            "telephone_number": "410-287-6569",
            "fax_number": "410-287-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLER-THYM",
        "first_name": "CONSTANCE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2022-04-12",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North East, MD

Sources for this page

Verify at the official NPI Registry.