Active NPI
Frederick G. Medinger, LCSWC
- Clinical Social Worker
- Randallstown, MD
National Provider Identifier
1215357918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 02624
- Practice address
- 4511 Robosson Rd
Randallstown, MD 21133-1018 - Phone
- (410) 453-2529
- NPI assigned
- Apr 21, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 02624 | MD | Primary |
Addresses
Primary practice location
4511 Robosson Rd
Randallstown, MD 21133-1018
Mailing address
4511 Robosson Rd
Randallstown, MD 21133-1018
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02624 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspirit Counseling Services, Inc. | Clinical | Past | Accepting new patients |
| The Eagles Nest Family and Children Services LLC | Past | Accepting new patients |
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.
-
- Professional Counselor
- Bel Air, MD
- NPI 1629364666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1215357918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4511 ROBOSSON RD",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211331018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4511 ROBOSSON RD",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211331018",
"telephone_number": "410-453-2529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINGER",
"first_name": "FREDERICK",
"middle_name": "G.",
"credential": "LCSWC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-21",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "02624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Randallstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.