Mary Sopato Radatovich, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

32745 Issued in MD

Practice address

124 N Main St Ste C
Berlin, MD 21811-1062

Phone

(410) 641-4598

NPI assigned

Jul 30, 2025

Last updated

Jul 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Worcester Youth and Family Counseling Services, Inc.Group PAC ID 0143266379, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Worcester Youth and Family Counseling Services, Inc.

  • Professional Counselor
  • Berlin, MD
  • NPI 1043254824
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1366325714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36724 PAR LN",
            "city": "FRANKFORD",
            "state": "DE",
            "postal_code": "199455221",
            "telephone_number": "203-228-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N MAIN ST STE C",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111062",
            "telephone_number": "410-641-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADATOVICH",
        "first_name": "MARY",
        "middle_name": "SOPATO",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "QI-0001741",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "32745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman R. Purnell
• Allison Paige Pusey
• Nina Pusey, LCSW-C
• Joshua Quillen
• Danielle Lee Quinn, MD
• Ka'Nyha Daishon Raikes, LMSW
• Alice B Rakowski, PT
• Peter Ryan Rapenske, PT
• Julie Kelley Rayne, LCSW-C
• Erin R Record, COTA/L

• Clinical Social Worker in Berlin, MD
• Providers in Berlin, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.

Verify at the official NPI Registry.