Individual provider Active NPI

John Flannery

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1417488610
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18586 Issued in MD
Practice address
6802 McClean Blvd
Baltimore, MD 21234-7260
Phone
(443) 955-8732
NPI assigned
Mar 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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 18586 MD Primary

Addresses

Primary practice location

6802 McClean Blvd
Baltimore, MD 21234-7260

Mailing address

6802 McClean Blvd
Baltimore, MD 21234-7260
Phone (443) 955-8732

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
I20230309000310 MD Practitioner - Clinical Social Worker 2860865037 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.55 of 100Reported as group
Quality
81.34
Promoting interoperability
100
Improvement activities
40
Cost
70.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18586MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland General Clinical Practice Group, Inc. CurrentSince May 1, 2024 Accepting new patients
Maryland General Clinical Practice Group, Inc. CurrentSince May 1, 2024 Accepting new patients

Locations

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

800 Linden Ave
Fl 10
Baltimore, MD 21201
Phone (410) 856-3660

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

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": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1417488610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6802 MCCLEAN BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212347260",
            "telephone_number": "443-955-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 MCCLEAN BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212347260",
            "telephone_number": "443-955-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANNERY",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.