Individual provider Active NPI

Holly Beth Suddith, LCSWC

  • Clinical Social Worker
  • New Market, MD
National Provider Identifier
1376658427
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10628 Issued in MD
Practice address
11670 Old National Pike
Suite 103
New Market, MD 21774
Phone
(301) 865-2226
NPI assigned
Aug 20, 2006
Last updated
Aug 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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 10628 MD Primary

Addresses

Primary practice location

11670 Old National Pike
Suite 103
New Market, MD 21774

Mailing address

27510 Mount Radnor Dr
Damascus, MD 20872
Phone (240) 723-6675

Other names 1

  • Holly Beth Berilla Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251001003007 MD Practitioner - Mental Health Counselor 7315269586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11670 Old National Pike
Suite 103
New Market, MD 21774-6123
Phone 3018652226302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1376658427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27510 MOUNT RADNOR DR",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "20872",
            "telephone_number": "240-723-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11670 OLD NATIONAL PIKE",
            "address_2": "SUITE 103",
            "city": "NEW MARKET",
            "state": "MD",
            "postal_code": "21774",
            "telephone_number": "301-865-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDDITH",
        "first_name": "HOLLY",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "LCSWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "BERILLA",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Market, MD

Sources for this page

Verify at the official NPI Registry.