Individual provider Active NPI

Kerry Suzanne Ford Morancy, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1417493099
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21649 Issued in MD
Practice address
1320 W 41St St
Baltimore, MD 21211-1547
Phone
(443) 285-1749
NPI assigned
Jan 6, 2017
Last updated
Jan 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 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 21649 MD Primary

Addresses

Primary practice location

1320 W 41St St
Baltimore, MD 21211-1547

Mailing address

1320 W 41St St
Baltimore, MD 21211-1547
Phone (443) 285-1749

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
I20180130000305 MD Practitioner - Clinical Social Worker 4880954460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Perspectives LLCGroup PAC ID 3870898109, 22 clinicians

Practice addresses (Care Compare)

1447 York Rd
Suite 802
Lutherville, MD 21093-6017
Phone 4108233344150

6 Park Ctr CT
Suite 103
Owings Mills, MD 21117-5603
Phone 4103563344150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cynthia Voelz Clinical Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1417493099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 W 41ST ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111547",
            "telephone_number": "443-285-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 W 41ST ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111547",
            "telephone_number": "443-285-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD MORANCY",
        "first_name": "KERRY",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.