Active NPI
Michaelyn Woofter
- Clinical Social Worker
- Gaithersburg, MD
National Provider Identifier
1255790341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 09725
- Practice address
- 111 Driscoll Way
Gaithersburg, MD 20878-5210 - Phone
- (301) 312-1300
- NPI assigned
- Feb 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 09725 | MD | Primary |
Addresses
Primary practice location
111 Driscoll Way
Gaithersburg, MD 20878-5210
Mailing address
111 Driscoll Way
Gaithersburg, MD 20878-5210
Phone (301) 312-1300
Other names 1
- Michaelyn Woofter
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
29315 Erickson Dr
Easton, MD 21601-8651
Phone (410) 690-8181
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peace of Mind Mental Health Services LLC | Clinical | Current | Accepting new patients |
Locations
29315 Erickson Dr
Easton, MD 21601
Phone (410) 690-8181
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": "1455667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455667200000",
"number": "1255790341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 DRISCOLL WAY",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208785210",
"telephone_number": "301-312-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 DRISCOLL WAY",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208785210",
"telephone_number": "301-312-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOFTER",
"first_name": "MICHAELYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-17",
"last_updated": "2016-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "09725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAELYN",
"last_name": "WOOFTER",
"credential": "M.S.W., LCSW-C",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.