Individual provider Active NPI

Danielle Lin Pientka, LCSW-C

  • Clinical Social Worker
  • Woodbine, MD
National Provider Identifier
1417288259
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15711 Issued in MD
Practice address
15440 Woodbine Morgan Rd
Woodbine, MD 21797-8717
Phone
(443) 300-6094
NPI assigned
Jan 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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 15711 MD Primary

Addresses

Primary practice location

15440 Woodbine Morgan Rd
Woodbine, MD 21797-8717

Mailing address

15440 Woodbine Morgan Rd
Woodbine, MD 21797-8717
Phone (443) 300-6094

Other names 1

  • Danielle Lin Plummer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2026 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1417288259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15440 WOODBINE MORGAN RD",
            "city": "WOODBINE",
            "state": "MD",
            "postal_code": "217978717",
            "telephone_number": "443-300-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15440 WOODBINE MORGAN RD",
            "city": "WOODBINE",
            "state": "MD",
            "postal_code": "217978717",
            "telephone_number": "443-300-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIENTKA",
        "first_name": "DANIELLE",
        "middle_name": "LIN",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-19",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "PLUMMER",
            "middle_name": "LIN",
            "credential": "LCSW-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodbine, MD

Sources for this page

Verify at the official NPI Registry.