Active NPI
Tiffany Masimore, LCSW-C
- Clinical Social Worker
- Westminster, MD
National Provider Identifier
1346421716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15768
- Practice address
- 59 Kate Wagner Rd
Westminster, MD 21157-6957 - Phone
- (443) 244-8689
- NPI assigned
- Nov 14, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 15768 | MD | Primary |
Addresses
Primary practice location
59 Kate Wagner Rd
Westminster, MD 21157-6957
Mailing address
59 Kate Wagner Rd
Westminster, MD 21157-6957
Phone (443) 244-8689
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, PA
- 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, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
104 N Main St
Union Bridge, MD 21791-9102
Phone (443) 541-4300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Foundation Center LLC | Clinical | Current | Accepting new patients |
| Bowman and Associates, LLC | Current | Accepting new patients | |
| Carroll County Youth Service Bureau, Inc. | Current | Accepting new patients | |
| Alliance Primary Care | Past | Accepting new patients |
Locations
59 Kate Wagner Rd
Westminster, MD 21157
Phone (410) 596-1755
327 Broadway
Hanover, PA 17331
Phone (717) 632-1800
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Westminster, MD
- NPI 1710042924
-
- Clinical Social Worker
- Union Bridge, MD
- NPI 1659008522
-
- Psychologist
- Hanover, PA
- NPI 1386278059
-
- Family Medicine Physician
- Union Bridge, MD
- NPI 1184105298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484697600000",
"number": "1346421716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 KATE WAGNER RD",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211576957",
"telephone_number": "443-244-8689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 KATE WAGNER RD",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211576957",
"telephone_number": "443-244-8689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASIMORE",
"first_name": "TIFFANY",
"name_prefix": "Mrs.",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-14",
"last_updated": "2017-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "15768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, MD
- Maryland Sportscare & Rehab, LLC
- Maryland Sportscare & Rehab, LLC
- Maryland Sportscare & Rehab, LLC
- Maryland Treatment Centers, Inc.
- Maryland Wellness LLC
- Haley Massino, NP
- Matclinic Physicians Practice Group LLC
- Matclinic Physicians Practice Group LLC
- Matclinic Physicians Practice Group LLC
- Catherine Matesa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.