Individual provider Active NPI

Marilyn Yunk, LCSW-C

  • Clinical Social Worker
  • Columbia, MD
National Provider Identifier
1467490151
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
02131 Issued in MD
Practice address
10630 Little Patuxent Pkwy
Columbia, MD 21044-3264
Phone
(443) 831-4145
NPI assigned
Jun 3, 2006
Last updated
Jun 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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 02131 MD Primary

Addresses

Primary practice location

10630 Little Patuxent Pkwy
Columbia, MD 21044-3264

Mailing address

9165 River Hill Rd
Laurel, MD 20723-1781
Phone (443) 831-4145

Other practice location 1

8131 Ritchie Hwy Ste G
Pasadena, MD 21122-6940
Phone (410) 360-4774

Other identifiers 12

IdentifierTypeStateIssuer
397791OtherMDTRICARE/MHN
257603OtherMDCOMPSYCH
258460OtherMDKAISER
281704OtherMDMAMSI
1821318-00MedicaidMD
524452OtherMDBCBS-MARYLAND
009612OtherMDVALUEOPTIONS
17281OtherMDAPS HEALTHCARE
232095000OtherMDAMERIHEALTH
172517-000OtherMDMAGELLEN
7562368OtherMDAETNA BEHAVIORAL HEALTH
T541-0020OtherDCCAREFIRST BCBS

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
I20100114000712 MD Practitioner - Clinical Social Worker 4284776188 Reassigns benefits to 1 organization
Practice locations: Columbia, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PCC LTDGroup PAC ID 0042306201, 8 clinicians

Practice addresses (Care Compare)

8131 Gov Ritchie Hwy
Suite G
Pasadena, MD 21122-6940
Phone (410) 544-4927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02131MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PCC LTD Clinical CurrentSince Jun 1, 2015 Accepting new patients
Oasis the Mental Health Center, LLC PastSince Jan 29, 2023 Accepting new patients
Family & Childrens Services of Central Maryland Clinical Past Accepting new patients

Locations

8131 Ritchie Hwy
Ste G
Pasadena, MD 21122
Phone (410) 360-4774

Organizations & group practices 3

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1467490151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9165 RIVER HILL RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231781",
            "telephone_number": "443-831-4145",
            "fax_number": "410-366-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 LITTLE PATUXENT PKWY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443264",
            "telephone_number": "443-831-4145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8131 Ritchie Hwy Ste G",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "MD",
            "postal_code": "211226940",
            "country_code": "US",
            "telephone_number": "410-360-4774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUNK",
        "first_name": "MARILYN",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "02131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/MHN",
            "identifier": "397791",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "257603",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "258460",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "281704",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821318-00",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-MARYLAND",
            "identifier": "524452",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "009612",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS HEALTHCARE",
            "identifier": "17281",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "232095000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLEN",
            "identifier": "172517-000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BEHAVIORAL HEALTH",
            "identifier": "7562368",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "T541-0020",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.