Carolyn Faye McDonald, LSCW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12015 Issued in MD

Practice address

108 Old Solomons Island Rd
Suite U-7
Annapolis, MD 21401-3845

Phone

(410) 266-8345

Fax

(410) 266-6278

NPI assigned

Aug 1, 2006

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 1

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Safe Harbor Behavioral Care Chesapeake LLCGroup PAC ID 0042578171, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Safe Harbor Behavioral Care Chesapeake LLC

  • Clinical Social Worker
  • Annapolis, MD
  • NPI 1295246718
  Medicare reassignment Care Compare group NPD
• Safe Harbor Behavioral Care, LLC

  • Clinical Social Worker
  • Bel Air, MD
  • NPI 1316487879
  NPD

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1285641639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 OLD SOLOMONS ISLAND RD",
            "address_2": "SUITE U-7",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013845",
            "telephone_number": "410-266-8345",
            "fax_number": "410-266-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 OLD SOLOMONS ISLAND RD",
            "address_2": "SUITE U-7",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013845",
            "telephone_number": "410-266-8345",
            "fax_number": "410-266-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "CAROLYN",
        "middle_name": "FAYE",
        "name_prefix": "Mrs.",
        "credential": "LSCW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4055497 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David William McDermott Jr., M.D.
• David William McDermott, M.D.
• Lorraine Weimorts McDermott, PH.D.
• Sarah McDermott, D.D.S., M.S.
• Marlys Sandve McDevitt, CRNP-FAMILY
• Kimla Raye McDonald
• Patrick Shannon McDonough, M.D.
• Wendy A McDowell, PT
• Erin Marie McEnany, PA-C
• Kayla Michelle McGarvey, MSN, FNP-BC

• Clinical Social Worker in Annapolis, MD
• Providers in Annapolis, 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 Aug 23, 2011; 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.

Verify at the official NPI Registry.