Active NPI
Teresa Crenshaw, LICSW, LCSW-C
- Clinical Social Worker
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 24562
- Practice address
- 2400 Kirk Ave
Baltimore, MD 21218-5507 - Phone
- (410) 383-8300
- Fax
- (410) 383-3160
- NPI assigned
- Mar 1, 2022
- Last updated
- Feb 6, 2024
- Sex
- Female
- Sole proprietor
- No
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 | LC50082464 | DC | |
| Clinical Social Worker | 1041C0700X | 24562 | MD | Primary |
Addresses
Primary practice location
2400 Kirk Ave
Baltimore, MD 21218-5507
Mailing address
8923 Waltham Woods Rd
Parkville, MD 21234-2447
Phone (301) 675-0964
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Total Health Care Inc
Practice addresses (Care Compare)
1501 Division St
Baltimore, MD 21217-3121
Phone (410) 383-8300
2400 Kirk Ave
Baltimore, MD 21218-5507
Phone (410) 383-8300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC50082464 | DC | MD | Clinical Social Worker |
| 24562 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Health Care Inc. | Current | Accepting new patients | |
| Total Health Care Inc | Current | Accepting new patients | |
| Supportive Care of Maryland LLC | Current | Accepting new patients | |
| Liberation Therapy, LLC | Current | Accepting new patients | |
| Total Health Care Inc | Current | Accepting new patients | |
| Total Health Care Inc | Past | Accepting new patients |
Locations
1501 Division St
Baltimore, MD 21217
Phone (410) 735-5390
1501 W Saratoga St
Baltimore, MD 21223
Phone (410) 383-7197
2400 Kirk Ave
Baltimore, MD 21218
Phone (410) 243-1800
9613 Harford Rd
Ste C
Parkville, MD 21234
Phone (410) 914-8615
4409 East West Hwy
Riverdale Park, MD 20737
Phone (301) 699-2000
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GJFJBD
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Baltimore, MD
- NPI 1972597425
-
- Community/Behavioral Health Agency
- Baltimore, MD
- NPI 1578267936
-
- Federally Qualified Health Center (FQHC)
- Odenton, MD
- NPI 1285018226
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, MD
- NPI 1225857378
-
- Federally Qualified Health Center (FQHC)
- Baltimore, MD
- NPI 1801880315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1336895184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8923 WALTHAM WOODS RD",
"city": "PARKVILLE",
"state": "MD",
"postal_code": "212342447",
"telephone_number": "301-675-0964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 KIRK AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212185507",
"telephone_number": "410-383-8300",
"fax_number": "410-383-3160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRENSHAW",
"first_name": "TERESA",
"credential": "LICSW, LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-01",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50082464",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "24562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.