Individual provider Active NPI

Constance Rojas Macy

  • Clinical Social Worker
  • Gaithersburg, MD
National Provider Identifier
1407021777
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10038 Issued in MD
Practice address
610 Professional Dr
255
Gaithersburg, MD 20879-3463
Phone
(240) 683-6202
NPI assigned
Apr 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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 10038 MD Primary

Addresses

Primary practice location

610 Professional Dr
255
Gaithersburg, MD 20879-3463

Mailing address

610 Professional Dr
255
Gaithersburg, MD 20879-3463
Phone (240) 683-6202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20080724000522 DC Practitioner - Clinical Social Worker 8224101662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 N Washington St
Suite 200 15
Rockville, MD 20850-2223
Phone (301) 661-1360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10038MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Wellness Psychotherapy, LLC Clinical CurrentSince Jun 9, 2024 Accepting new patients
Green Ridge Behavioral Health, LLC Past Accepting new patients

Locations

110 N Washington St
Ste 20015
Rockville, MD 20850
Phone (301) 661-1360

Organizations & group practices 2

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": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1407021777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 PROFESSIONAL DR",
            "address_2": "255",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793463",
            "telephone_number": "240-683-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PROFESSIONAL DR",
            "address_2": "255",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793463",
            "telephone_number": "240-683-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROJAS MACY",
        "first_name": "CONSTANCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.