Individual provider Active NPI

Teresa Crenshaw, LICSW, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1336895184
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24562 Issued in MD
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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 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, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230615000615 MD Practitioner - Clinical Social Worker 0345608857 Reassigns benefits to 2 organizations
I20230615000835 DC Practitioner - Clinical Social Worker 0345608857 Reassigns benefits to 1 organization

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 IncGroup PAC ID 0446258487, shared by 9 NPIs, 57 clinicians

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

LicenseStateTypeSpecialty
LC50082464DCMDClinical Social Worker
24562MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Care Inc. CurrentSince Mar 4, 2024 Accepting new patients
Total Health Care Inc CurrentSince Mar 4, 2024 Accepting new patients
Supportive Care of Maryland LLC CurrentSince Jun 1, 2023 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.