Individual provider Active NPI

Chaya Bracha Caine, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1326480641
Registry record updated Jul 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14575 Issued in MD
Practice address
2810 Smith Ave
Baltimore, MD 21209-1427
Phone
(443) 801-4621
NPI assigned
Jul 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14575 MD Primary

Addresses

Primary practice location

2810 Smith Ave
Baltimore, MD 21209-1427

Mailing address

2810 Smith Ave
Baltimore, MD 21209-1427
Phone (443) 801-4621

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
I20230111003242 MD Practitioner - Clinical Social Worker 9436529260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Empowerment Therapy Services of Maryland, LLCGroup PAC ID 0345644092, 19 clinicians

Practice addresses (Care Compare)

3655 A Old Court Rd
Suite 123
Baltimore, MD 21208-3959
Phone (410) 630-9064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14575MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerment Therapy Services of Maryland, LLC CurrentSince Dec 1, 2022 Accepting new patients

Locations

3655A Old Court Rd
Ste 123
Pikesville, MD 21208
Phone (410) 630-9064

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1374969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374969600000",
    "number": "1326480641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 SMITH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091427",
            "telephone_number": "443-801-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 SMITH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091427",
            "telephone_number": "443-801-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAINE",
        "first_name": "CHAYA",
        "middle_name": "BRACHA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-28",
        "last_updated": "2013-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.