Individual provider Active NPI

Monica Laney Boddie, LCSW-C

  • Clinical Social Worker
  • Ellicott City, MD
National Provider Identifier
1396977872
Registry record updated Jun 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14756 Issued in MD
Practice address
4083 Dorseys Ridge SQ
Ellicott City, MD 21043-5469
Phone
(443) 224-3002
NPI assigned
Aug 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 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 14756 MD Primary

Addresses

Primary practice location

4083 Dorseys Ridge SQ
Ellicott City, MD 21043-5469

Mailing address

4083 Dorseys Ridge SQ
Ellicott City, MD 21043-5469
Phone (443) 224-3002

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
I20210722000326 MD Practitioner - Clinical Social Worker 4981007440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

312 Martin Luther King Jr Blvd
Suite 300
Baltimore, MD 21201-1221
Phone (954) 695-6847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Transformation Health, LLC CurrentSince Jun 28, 2021 Accepting new patients
Transformation Health, LLC CurrentSince Jul 4, 2021 Accepting new patients
Transformation Health, LLC Past Accepting new patients
Transformation Health, LLC Past Accepting new patients
Transformation Health, LLC Past Accepting new patients
Transformation Health, LLC Past Accepting new patients
Transformation Health, LLC Clinical Past Accepting new patients
Transformation Health, LLC Past Accepting new patients
Transformation Health, LLC Past Accepting new patients
Transformation Health, LLC Past Accepting new patients
Transformation Health, LLC Past Accepting new patients

Locations

312 Martin Luther King Jr Blvd
Ste 300
Baltimore, MD 21201
Phone (443) 759-9592

Organizations & group practices 11

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": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781308800000",
    "number": "1396977872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4083 DORSEYS RIDGE SQ",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210435469",
            "telephone_number": "443-224-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4083 DORSEYS RIDGE SQ",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210435469",
            "telephone_number": "443-224-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODDIE",
        "first_name": "MONICA",
        "middle_name": "LANEY",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-17",
        "last_updated": "2026-06-13",
        "certification_date": "2026-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.