Active NPI
Duane Eggerman, LMSW
- Clinical Social Worker
- Annapolis, MD
National Provider Identifier
1275190290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 23271
- Practice address
- 34 Defense St
Annapolis, MD 21401-3577 - Phone
- (443) 214-5097
- NPI assigned
- May 24, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 23271 | MD | Primary |
Addresses
Primary practice location
34 Defense St
Annapolis, MD 21401-3577
Mailing address
5735 Rowanberry Dr Apt 205
Elkridge, MD 21075-5222
Phone (443) 401-7667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2024 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558656000000",
"number": "1275190290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5735 ROWANBERRY DR APT 205",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210755222",
"telephone_number": "443-401-7667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 DEFENSE ST",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013577",
"telephone_number": "443-214-5097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGGERMAN",
"first_name": "DUANE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-24",
"last_updated": "2019-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "23271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.