Active NPI
Mary Jane Thomas, LCSW-C
- Clinical Social Worker
- Towson, MD
National Provider Identifier
1285715946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 07909
- Practice address
- 7801 York Rd
Suite 215
Towson, MD 21204-7446 - Phone
- (410) 337-7772
- Fax
- (410) 337-8729
- NPI assigned
- Oct 18, 2006
- 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 | 07909 | MD | Primary |
Addresses
Primary practice location
7801 York Rd
Suite 215
Towson, MD 21204-7446
Mailing address
823 Kingston Rd
Baltimore, MD 21212-1909
Phone (410) 377-4767
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QE24MJ | Other | MD | BCBS ID # |
| R9340001 | Other | MD | BLUE CHOICE ID # |
| 222022 | Other | MD | COMPSYCH ID # |
| 529553 06 | Other | MD | BLUE CROSS BLUE SHIELD |
| 41734 | Other | MD | AMERICAN PSYCH SYSTEMS ID |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110121000628 | MD | Practitioner - Clinical Social Worker | 1254510399 | Practice locations: Lutherville, MD |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1212 York Rd
Lutherville, MD 21093-6245
Phone (443) 353-9451
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7909 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lynch Physical Therapy, LLC | Past | Accepting new patients | |
| The Resource Group | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Towson, MD
- NPI 1861042954
-
- Cognitive & Behavioral Psychologist
- Towson, MD
- NPI 1235271339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285715946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "823 KINGSTON RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212121909",
"telephone_number": "410-377-4767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7801 YORK RD",
"address_2": "SUITE 215",
"city": "TOWSON",
"state": "MD",
"postal_code": "212047446",
"telephone_number": "410-337-7772",
"fax_number": "410-337-8729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "MARY JANE",
"name_prefix": "Ms.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "07909",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID #",
"identifier": "QE24MJ",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE ID #",
"identifier": "R9340001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH ID #",
"identifier": "222022",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "529553 06",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN PSYCH SYSTEMS ID",
"identifier": "41734",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.