Individual provider Active NPI

Mary Pizzica, LCSWC

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1386997708
Registry record updated May 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13794 Issued in MD
Practice address
200 S Arlington Ave
Baltimore, MD 21223-2671
Phone
(410) 962-7180
NPI assigned
Oct 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2016

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 13794 MD Primary

Addresses

Primary practice location

200 S Arlington Ave
Baltimore, MD 21223-2671

Mailing address

3200 Eastern Ave
Baltimore, MD 21224-4010
Phone (410) 522-1181

Other names 1

  • Ms. Mary Rife Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
13794MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Baltimore Behavioral Health, Inc Past Accepting new patients
Apex Counseling Center, LLC PastSince Jan 31, 2005 Accepting new patients
Baltimore Behavioral Health, Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464393600000",
    "number": "1386997708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244010",
            "telephone_number": "410-522-1181",
            "fax_number": "410-522-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S ARLINGTON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232671",
            "telephone_number": "410-962-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZZICA",
        "first_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LCSWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-23",
        "last_updated": "2016-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "RIFE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2016; 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.