Individual provider Active NPI

Marlene Williams

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1427774041
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26719 Issued in MD
Practice address
2902 E Federal St
Baltimore, MD 21213-3910
Phone
(443) 253-0174
NPI assigned
Oct 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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 26719 MD Primary
Social Worker 104100000X 26719

Addresses

Primary practice location

2902 E Federal St
Baltimore, MD 21213-3910

Mailing address

2902 E Federal St
Baltimore, MD 21213-3910
Phone (443) 253-0174

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
I20250616001572 MD Practitioner - Clinical Social Worker 4688185812 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2902 E Federal St
Baltimore, MD 21213-3910
Phone (667) 228-2074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26719MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kamili Behavioral Health Center CurrentSince Jul 21, 2025 Accepting new patients
Way Station, Inc. Current Accepting new patients
Way Station Inc Past Accepting new patients

Locations

328 N Potomac St
Hagerstown, MD 21740
Phone (410) 740-1901

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": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1427774041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 E FEDERAL ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212133910",
            "telephone_number": "443-253-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 E FEDERAL ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212133910",
            "telephone_number": "443-253-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-14",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "26719",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": "26719",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.