Active NPI
Gale Ann Bellucci, L.C.S.W.-C.
- Clinical Social Worker
- Glen Burnie, MD
National Provider Identifier
1447388111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 07025
- Practice address
- 7310 Ritchie Hwy Ste 308
Glen Burnie, MD 21061-3089 - Phone
- (410) 766-9772
- Fax
- (410) 766-9774
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 07025 | MD | Primary |
| Clinical Social Worker | 1041C0700X | 1018009 | MA |
Addresses
Primary practice location
7310 Ritchie Hwy Ste 308
Glen Burnie, MD 21061-3089
Mailing address
7310 Ritchie Hwy Ste 308
Glen Burnie, MD 21061-3089
Phone (410) 766-9772
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028783 | Other | NY | VALUEOPTIONS |
| PVPB122063 | Other | MD | APS HEALTHCARE |
| 028783 | Other | CA | VALUEOPTIONS |
| QU10GA27 | Other | MD | MAGELLAN |
| 218809 | Other | MD | MAPSI |
| 028783 | Other | TX | VALUEOPTIONS |
| 096609 | Other | CA | MANAGED HEALTH NETWORK |
| 218809 | Other | MD | MAMSI |
| T1740001 | Other | DC | BCBS OF NATIONAL CAPITAL |
| 52537205 | Other | MD | CAREFIRST BCBS |
| 218809 | Other | MD | OPTIMUM CHOICE |
| T1740001 | Other | MD | CAREFIRST BLUECHOICE |
| 4527759 | Other | MD | AETNA PROVIDER ID |
| QU10GA27 | Other | VA | NCAS |
| 218809 | Other | MD | ONENET PROVIDER ID |
| 218809 | Other | MD | MDIPA |
| QU10GA27 | Other | MD | BCBS PROVIDER ID |
| T1740001 | Other | MD | CAREFIRST BLUEPREFERRED |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111130000081 | MD | Practitioner - Clinical Social Worker | 8628242799 | Practice locations: Glen Burnie, MD |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
7310 Ritchie Hwy
Suite 308
Glen Burnie, MD 21061
7310 Ritchie Hwy
Suite 308
Glen Burnie, MD 21061-3089
Phone (410) 766-9772
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1018009 | MA | MD | Clinical Social Worker |
| 07025 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447388111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7310 RITCHIE HWY STE 308",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210613089",
"telephone_number": "410-766-9772",
"fax_number": "410-766-9774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7310 RITCHIE HWY STE 308",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210613089",
"telephone_number": "410-766-9772",
"fax_number": "410-766-9774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLUCCI",
"first_name": "GALE ANN",
"name_prefix": "Mrs.",
"credential": "L.C.S.W.-C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "07025",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1018009",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "028783",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APS HEALTHCARE",
"identifier": "PVPB122063",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "028783",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "QU10GA27",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAPSI",
"identifier": "218809",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "028783",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "096609",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "218809",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NATIONAL CAPITAL",
"identifier": "T1740001",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "52537205",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM CHOICE",
"identifier": "218809",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUECHOICE",
"identifier": "T1740001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER ID",
"identifier": "4527759",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCAS",
"identifier": "QU10GA27",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONENET PROVIDER ID",
"identifier": "218809",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDIPA",
"identifier": "218809",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "QU10GA27",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUEPREFERRED",
"identifier": "T1740001",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.