Mary Elizabeth Vansickle, MSW, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

06787 Issued in MD

Practice address

40 S 2ND St
Oakland, MD 21550-1518

Phone

(301) 914-1351

Fax

(301) 334-7642

NPI assigned

Dec 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Clinical Social Worker

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Garrett County Health DepartmentGroup PAC ID 0547239626, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Garrett County Health Department

  • Public Health or Welfare Agency
  • Oakland, MD
  • NPI 1568411619
  Medicare reassignment Care Compare group
• Garrett County Board of Education

  • Local Education Agency (LEA)
  • Oakland, MD
  • NPI 1114141785
  NPD (past)
• Garrett County Board of Education

  • Local Education Agency (LEA)
  • Oakland, MD
  • NPI 1629345327
  NPD (past)

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1215407374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 S 2ND ST",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501518",
            "telephone_number": "301-914-1351",
            "fax_number": "301-334-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S 2ND ST",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501518",
            "telephone_number": "301-914-1351",
            "fax_number": "301-334-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANSICKLE",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "06787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9052020000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541388500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• United Physicianc Care Inc
• United Physicians Care Inc
• Unwritten Chapter LLC
• Jason Van Antwerp, MD
• Erica Marie Vanmeter, CRNP
• Courtney Lynn Vinci, LMSW
• Virago Counseling
• Vitae Health Clinical Services Maryland LLC
• Vitae Health Medical Pennsylvania LLC
• Vital Solutions Lab Services, LLC

• Clinical Social Worker in Oakland, MD
• Providers in Oakland, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.