Mark D Ridderhoff, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15927 Issued in MD

Practice address

2050 Fountain St
Baltimore, MD 21231-3029

Phone

(443) 980-0019

NPI assigned

Mar 18, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Congruent Counseling Services LLCGroup PAC ID 6608278445, 11 clinicians

Fishel, Watson, and Lemaire PAGroup PAC ID 0547225237, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Congruent Counseling Services LLC

  • Professional Counselor
  • Columbia, MD
  • NPI 1306851837

  Clinical

  Medicare reassignment Care Compare group NPD
• Fishel, Watson, & Lemaire PA

  • Clinical Psychologist
  • Towson, MD
  • NPI 1518903905
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, DC

  Medicare reassignment NPD
• Fishel, Watson and Lemaire, P.a.

  • Clinical Social Worker
  • Towson, MD
  • NPI 1639709322
  NPD (past)

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1437491420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EAST PENNSYLVANIA AVENUE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21286",
            "telephone_number": "410-583-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 FOUNTAIN ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212313029",
            "telephone_number": "443-980-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDERHOFF",
        "first_name": "MARK",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-18",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Elizabeth Ricketts
• Catherine Elizabeth Rickrode, LCSW-C
• Kourtney Alissa Ricks, MD
• Juan Simon Rico Mesa, MD
• Gianna Ann Rico
• Erica Riddick
• Shayla Riddick, LCSW-C
• Emily Riddle
• Julia Riddle, MD
• Heather Riddler, MD

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.