Individual provider Active NPI

Cynthia Agyeman-Anane, LICSW

  • School Social Worker
  • Severna Park, MD
National Provider Identifier
1427428812
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
Practice address
2 Evergreen Rd
Severna Park, MD 21146-3829
Phone
(301) 275-6962
NPI assigned
Sep 29, 2015
Last updated
Feb 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU
School Social Worker 1041S0200X NU Primary

Addresses

Primary practice location

2 Evergreen Rd
Severna Park, MD 21146-3829

Mailing address

2 Evergreen Rd
Severna Park, MD 21146-3829

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
I20160706001943 MD Practitioner - Clinical Social Worker 8123310497 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conversations Create Change LLCGroup PAC ID 7618217720, 2 clinicians

Practice addresses (Care Compare)

412 Saint Martins Choice LN
Severna Park, MD 21146-2746
Phone (301) 275-6962

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14929MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
M&M Behavioral Health Solutions CurrentSince Apr 1, 2017 Accepting new patients
M&M Behavioral Health Solutions CurrentSince Apr 1, 2017 Accepting new patients

Locations

1406 Crain Hwy S
Ste 104
Glen Burnie, MD 21061
Phone (410) 766-6624

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, 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": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1427428812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EVERGREEN RD",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EVERGREEN RD",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463829",
            "telephone_number": "301-275-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGYEMAN-ANANE",
        "first_name": "CYNTHIA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-29",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

Verify at the official NPI Registry.