Active NPI
David Michael Albert, LCSW-C
- Clinical Social Worker
- Princess Anne, MD
National Provider Identifier
1306339940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 23893
- Practice address
- 11760 Somerset Ave
Princess Anne, MD 21853-1239 - Phone
- (410) 621-5177
- NPI assigned
- Jun 8, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 23893 | MD | Primary |
| School Social Worker | 1041S0200X | 23893 | MD |
Addresses
Primary practice location
11760 Somerset Ave
Princess Anne, MD 21853-1239
Mailing address
11760 Somerset Ave
Princess Anne, MD 21853-1239
Phone (410) 621-5177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23893 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23893 | MD | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1306339940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11760 SOMERSET AVE",
"city": "PRINCESS ANNE",
"state": "MD",
"postal_code": "218531239",
"telephone_number": "410-621-5177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11760 SOMERSET AVE",
"city": "PRINCESS ANNE",
"state": "MD",
"postal_code": "218531239",
"telephone_number": "410-621-5177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBERT",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-08",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "23893",
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MD",
"license": "23893",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "23893",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Princess Anne, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.