Individual provider Active NPI

Linda Macek, LCSW-C, RN

  • Clinical Social Worker
  • Mount Airy, MD
National Provider Identifier
1366879207
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
08515 Issued in MD
Practice address
5633 Catoctin Ridge Dr
Mount Airy, MD 21771-6009
Phone
(301) 520-8713
Fax
(301) 520-8713
NPI assigned
Oct 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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 08515 MD Primary

Addresses

Primary practice location

5633 Catoctin Ridge Dr
Mount Airy, MD 21771-6009

Mailing address

5633 Catoctin Ridge Dr
Mount Airy, MD 21771-6009
Phone (301) 520-8713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
08515MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1366879207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5633 CATOCTIN RIDGE DR",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217716009",
            "telephone_number": "301-520-8713",
            "fax_number": "301-520-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5633 CATOCTIN RIDGE DR",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217716009",
            "telephone_number": "301-520-8713",
            "fax_number": "301-520-8713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACEK",
        "first_name": "LINDA",
        "credential": "LCSW-C, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-10",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "08515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.