Individual provider Active NPI

Anita Marie Mentzer, LCSW -C

  • Clinical Social Worker
  • Lutherville Timonium, MD
National Provider Identifier
1316569700
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09619 Issued in MD
Practice address
1850 York Rd Ste K
Lutherville Timonium, MD 21093-5122
Phone
(410) 760-9079
NPI assigned
May 8, 2020
Last updated
May 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 09619 MD Primary

Addresses

Primary practice location

1850 York Rd Ste K
Lutherville Timonium, MD 21093-5122

Mailing address

30 Greenway St NW Ste 5
Glen Burnie, MD 21061-3557

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
I20200601002749 MD Practitioner - Clinical Social Worker 9638590524 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oasis the Mental Health Center LLCGroup PAC ID 8527424837, 26 clinicians

Practice addresses (Care Compare)

1850 York Rd
Suite K
Timonium, MD 21093-5122
Phone (410) 760-9079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09619MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis the Mental Health Center, LLC CurrentSince Jun 1, 2023 Accepting new patients
Greater Baltimore Counseling Center, LLC Clinical CurrentSince Jun 1, 2020 Accepting new patients
Oasis the Mental Health Center, LLC Clinical Past Accepting new patients

Locations

175 Admiral Cochrane Dr
Ste 101B
Annapolis, MD 21401
Phone 41076090790

175 Admiral Cochrane Dr
Ste 110
Annapolis, MD 21401
Phone (410) 571-0888

30 Greenway St NW
Ste 5
Glen Burnie, MD 21061
Phone 41076090790

1363 Becknel Ave
Odenton, MD 21113
Phone (240) 381-7900

1850 York Rd
Ste K
Timonium, MD 21093
Phone (410) 410-7609

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1316569700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 GREENWAY ST NW STE 5",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 YORK RD STE K",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210935122",
            "telephone_number": "410-760-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENTZER",
        "first_name": "ANITA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW -C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville Timonium, MD

Sources for this page

Verify at the official NPI Registry.