Rebecca Anne Kiersznowski, MSW, CCDC, CCDP-D
Individual provider Active NPI Clinical Social Worker · Elkton, MD
NPI 1437201019 · NPPES record last updated Apr 9, 2015
Key facts
- NPI
- 1437201019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 11752 (MD)
- Practice address
- 200 Booth St
Elkton, MD 21921-5657 - Phone
- (410) 996-5104
- Fax
- (410) 996-5197
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Union Hospital of Cecil County
Practice addresses (Care Compare)
111 W High St
Suite 204
Elkton, MD 21921-8611
Phone (410) 620-0008
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.57 of 100
- Quality
- 59.34
- Promoting interoperability
- 89
- Improvement activities
- 40
- Cost
- 75.04
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100927000522 | MD | Practitioner - Clinical Social Worker | 9739205832 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1445 | MD | MD | Psychologist |
| 11752 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Hospital of Cecil County | Current |
Accepting new patients | |
| Upper Bay Counseling and Support Services, Inc | Current |
Accepting new patients | |
| Upper Bay Counseling & Support Services, Inc. | Current | Accepting new patients |
Locations
200 Booth St
Elkton, MD 21921
Phone (410) 996-3400
111 W High St
Ste 204
Elkton, MD 21921
Phone (410) 392-3007
106 Bow St
Elkton, MD 21921
Phone (410) 298-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1445 | MD | |
| Clinical Social Worker | 1041C0700X | 11752 | MD | Yes |
Addresses
Primary practice location
200 Booth St
Elkton, MD 21921-5657
Mailing address
305 Main St.
PO Box 294
Townsend, DE 19734
Phone (410) 996-5104
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 922801200 | Medicaid | MD |
Other names
- Rebecca Anne Arbogast
Other providers in Elkton, MD
- Gabrielle Pasua Kennard
- Kristen Kennedy
- Kevin Y. Myint, DDS
- Key Point Health Services, Inc.
- Khan Pediatrics Inc
- Dana Lynn Kilroy
- Ryan Kimball
- Carolyn J. King
- Donna Lynn Kirby
- Thomas Kituskie
All providers in Elkton, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.