Individual provider Active NPI

Michelle W Battista, LCSW-C

  • Clinical Social Worker
  • Westminster, MD
National Provider Identifier
1265598171
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11261 Issued in MD
Practice address
59 Kate Wagner Rd.
Westminster, MD 21157
Phone
(410) 848-2500
Fax
(410) 876-3016
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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 11261 MD Primary

Addresses

Primary practice location

59 Kate Wagner Rd.
Westminster, MD 21157

Mailing address

59 Kate Wagner Rd.
Westminster, MD 21157
Phone (410) 848-2500

Other identifiers 1

IdentifierTypeStateIssuer
615501400MedicaidMD

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
I20140730000055 MD Practitioner - Clinical Social Worker 3173749041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Finksburg Plaza Counseling Service, LLCGroup PAC ID 2466401534, 10 clinicians

Practice addresses (Care Compare)

1812 Baltimore Blvd
Suite a
Westminster, MD 21157-7144
Phone (410) 751-6176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11261MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Finksburg Plaza Counseling Service, LLC Clinical CurrentSince Jun 27, 2014 Accepting new patients

Locations

1812 Baltimore Blvd
Ste A
Westminster, MD 21157
Phone (410) 751-6176

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1265598171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 KATE WAGNER RD.",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "21157",
            "telephone_number": "410-848-2500",
            "fax_number": "410-876-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 KATE WAGNER RD.",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "21157",
            "telephone_number": "410-848-2500",
            "fax_number": "410-876-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTISTA",
        "first_name": "MICHELLE",
        "middle_name": "W",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "615501400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.