Maryrebecca Miller Pinckney, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14523 Issued in MD

Practice address

30537 Potomac Way
Suite 101/102
Charlotte Hall, MD 20622-3179

Phone

(240) 587-7087

NPI assigned

Nov 18, 2015

Last updated

Nov 18, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Mary Rebecca Miller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1467826156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30537 POTOMAC WAY",
            "address_2": "SUITE 101/102",
            "city": "CHARLOTTE HALL",
            "state": "MD",
            "postal_code": "206223179",
            "telephone_number": "240-587-7087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30537 POTOMAC WAY",
            "address_2": "SUITE 101/102",
            "city": "CHARLOTTE HALL",
            "state": "MD",
            "postal_code": "206223179",
            "telephone_number": "240-587-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINCKNEY",
        "first_name": "MARYREBECCA",
        "middle_name": "MILLER",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MILLER",
            "middle_name": "REBECCA",
            "prefix": "MISS",
            "credential": "LCSW-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Clinical Social Worker in Charlotte Hall, MD
• Providers in Charlotte Hall, 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 18, 2015; 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.