Individual provider Active NPI

Tawanna Tilghman

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1477014033
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16892 Issued in MD
Practice address
5411 Old Frederick Rd Ste 13And14
Baltimore, MD 21229-2195
Phone
(410) 744-8100
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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 16892 MD Primary

Addresses

Primary practice location

5411 Old Frederick Rd Ste 13And14
Baltimore, MD 21229-2195

Mailing address

8248 Kings Crown Rd
Pikesville, MD 21208-2364
Phone (443) 880-6199

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
I20190809001447 MD Practitioner - Clinical Social Worker 1153658398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
National Pike Health CenterGroup PAC ID 7113254988, 9 clinicians

Practice addresses (Care Compare)

5411 Old Frederick Rd
Suite 13
Baltimore, MD 21229-2126
Phone (410) 744-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16892MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
National Pike Health Center CurrentSince May 6, 2019 Accepting new patients

Locations

5411 Old Frederick Rd
Ste 13
Baltimore, MD 21229
Phone (410) 744-8100

Organizations & group practices 1

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": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1477014033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8248 KINGS CROWN RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082364",
            "telephone_number": "443-880-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 OLD FREDERICK RD STE 13AND14",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212292195",
            "telephone_number": "410-744-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILGHMAN",
        "first_name": "TAWANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.