Medusa Cooperative, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MEDUSA COOPERATIVE, LLC

Practice address

308 W Patrick St Ste 2
Frederick, MD 21701-4889

Phone

(252) 263-8415

NPI assigned

Nov 10, 2025

Organization subpart

No

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

Authorized official

Name

Starling Butler Hathcock, LCSW-CNPI 1023748589

Title

Part Owner

Phone

(252) 263-8415

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Starling Butler Hathcock, LCSWC

  • Clinical Social Worker
  • Brunswick, MD
  • NPI 1023748589
  NPD Authorized official

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

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1457221806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W C ST",
            "city": "BRUNSWICK",
            "state": "MD",
            "postal_code": "217161015",
            "telephone_number": "252-263-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W PATRICK ST STE 2",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014889",
            "telephone_number": "252-263-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDUSA COOPERATIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "HATHCOCK",
        "authorized_official_first_name": "STARLING",
        "authorized_official_middle_name": "BUTLER",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "252-263-8415",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medstar Urgent Care LLC
• Elana Megerian, OTR, OTR/L
• Caitlyn Mejia, LCPC
• Yolanda De Fatima Mejia, FNP-C
• Sara Mekonnen Mekuria, M.D.
• Melanie Towe PA

• Clinical Social Worker in Frederick, MD
• Providers in Frederick, 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 Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.