Mary Marguerite Hereth-Mulloy, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

06379 Issued in MD

Practice address

6655 Sykesville Rd
Solomon D
Sykesville, MD 21784-7966

Phone

(410) 970-7220

Fax

(410) 970-7313

NPI assigned

Mar 7, 2007

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

Not listed in the public Medicare enrollment file

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.

• Global Health Services Inc-Omhc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Reisterstown, MD
  • NPI 1952326134
  NPD (past)
• Global Health Services, Inc-PRP

  • Social Worker
  • Reisterstown, MD
  • NPI 1790012987
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305244800000",
    "number": "1245360346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 FLORENCE RD",
            "city": "WOODBINE",
            "state": "MD",
            "postal_code": "217977843",
            "telephone_number": "410-489-7994",
            "fax_number": "410-496-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 SYKESVILLE RD",
            "address_2": "SOLOMON D",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217847966",
            "telephone_number": "410-970-7220",
            "fax_number": "410-970-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERETH-MULLOY",
        "first_name": "MARY",
        "middle_name": "MARGUERITE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2011-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "06379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0191884 00",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW-C",
            "identifier": "06379",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtnay R Hatcher, LBA, BCBA
• Malinda Claire Grimm Healey, PA
• Healing Path Counseling Center
• Healthfirst Physical Therapy & Rehab Services LLC
• Amanda Jo Hepler, LPMT MA MT-BC
• Philip Ronald Herschelman, MD
• Kelsey Higgs
• Alyson Hird, LCSW-C
• Jeanne Marie Hoff, COTA
• Jamilia Holmes

• Clinical Social Worker in Sykesville, MD
• Providers in Sykesville, 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 May 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.