Individual provider Active NPI

Gale Ann Bellucci, L.C.S.W.-C.

  • Clinical Social Worker
  • Glen Burnie, MD
National Provider Identifier
1447388111
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
07025 Issued in MD
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

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
028783OtherNYVALUEOPTIONS
PVPB122063OtherMDAPS HEALTHCARE
028783OtherCAVALUEOPTIONS
QU10GA27OtherMDMAGELLAN
218809OtherMDMAPSI
028783OtherTXVALUEOPTIONS
096609OtherCAMANAGED HEALTH NETWORK
218809OtherMDMAMSI
T1740001OtherDCBCBS OF NATIONAL CAPITAL
52537205OtherMDCAREFIRST BCBS
218809OtherMDOPTIMUM CHOICE
T1740001OtherMDCAREFIRST BLUECHOICE
4527759OtherMDAETNA PROVIDER ID
QU10GA27OtherVANCAS
218809OtherMDONENET PROVIDER ID
218809OtherMDMDIPA
QU10GA27OtherMDBCBS PROVIDER ID
T1740001OtherMDCAREFIRST 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
1018009MAMDClinical Social Worker
07025MDMDClinical 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

Verify at the official NPI Registry.