Individual provider Active NPI

Mark Cameron Livingston, L.C.S.W.C.

  • Clinical Social Worker
  • Crownsville, MD
National Provider Identifier
1437289089
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
04924 Issued in MD
Practice address
15 Romig Drive
Crownsville, MD 21302
Phone
(410) 729-2135
NPI assigned
Mar 6, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 04924 MD Primary

Addresses

Primary practice location

15 Romig Drive
Crownsville, MD 21302

Mailing address

1406 Knightsbridge Turn
Crofton, MD 21032
Phone (410) 721-1450

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
I20150720000317 MD Practitioner - Clinical Social Worker 0648407841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aspen Day Treatment LLCGroup PAC ID 8729160635, 6 clinicians

Practice addresses (Care Compare)

1634 Sulphur Spring Rd
Baltimore, MD 21227-2539
Phone (410) 812-9359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Day Treatment, LLC CurrentSince Jun 29, 2015 Accepting new patients

Locations

1634 Sulphur Spring Rd
Halethorpe, MD 21227
Phone (410) 242-0920

Organizations & group practices 1

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437289089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 KNIGHTSBRIDGE TURN",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "21032",
            "telephone_number": "410-721-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ROMIG DRIVE",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "21302",
            "telephone_number": "410-729-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "MARK",
        "middle_name": "CAMERON",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "04924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crownsville, MD

Sources for this page

Verify at the official NPI Registry.