Active NPI
Maryann Boyle, LCSWC
- Clinical Social Worker
- Edgewater, MD
National Provider Identifier
1407044969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 137 Mitchells Chance Rd
#260
Edgewater, MD 21037 - Phone
- (410) 956-5300
- Fax
- (410) 956-5301
- NPI assigned
- Oct 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12303 | MD | |
| Clinical Social Worker | 1041C0700X | MD | Primary |
Addresses
Primary practice location
137 Mitchells Chance Rd
#260
Edgewater, MD 21037
Mailing address
2021 Chaneyville Rd
#102
Owings, MD 20736
Phone (410) 286-0664
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12303 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrew T. Gergely, M.D.,L.C.C. | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206662400000",
"number": "1407044969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 CHANEYVILLE RD",
"address_2": "#102",
"city": "OWINGS",
"state": "MD",
"postal_code": "20736",
"telephone_number": "410-286-0664",
"fax_number": "410-286-2834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 MITCHELLS CHANCE RD",
"address_2": "#260",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "21037",
"telephone_number": "410-956-5300",
"fax_number": "410-956-5301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLE",
"first_name": "MARYANN",
"credential": "LCSWC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-10",
"last_updated": "2008-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "12303",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edgewater, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.