Individual provider Active NPI

Vaughn Harvey, LCSW-C

  • Clinical Social Worker
  • Rosedale, MD
National Provider Identifier
1275076531
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12304 Issued in MD
Practice address
6918 Ridge Rd Ste B101
Rosedale, MD 21237-3854
Phone
(443) 902-5460
NPI assigned
Nov 18, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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 12304 MD Primary

Addresses

Primary practice location

6918 Ridge Rd Ste B101
Rosedale, MD 21237-3854

Mailing address

6918 Ridge Rd Ste B101
Rosedale, MD 21237-3854
Phone (443) 902-5460

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
I20250729004578 MD Practitioner - Clinical Social Worker 6709393200 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harcon LLC Clinical CurrentSince Jun 9, 2025 Accepting new patients

Locations

3505 Ellicott Mills Dr
Ste C1
Ellicott City, MD 21043

3525 Ellicott Mills Dr
Ste H101
Ellicott City, MD 21043

6918 Ridge Rd
Ste B101
Rosedale, MD 21237
Phone (443) 902-5460

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": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1275076531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6918 RIDGE RD STE B101",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373854",
            "telephone_number": "443-902-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6918 RIDGE RD STE B101",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373854",
            "telephone_number": "443-902-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "VAUGHN",
        "name_prefix": "Mr.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-18",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

Verify at the official NPI Registry.