Active NPI
Anne Sullivan Hynes, LCSW C
- Clinical Social Worker
- Ellicott City, MD
National Provider Identifier
1487781720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10888
- Practice address
- 3565 Ellicott Mills Dr Ste 206
Ellicott City, MD 21043-4559 - Phone
- (443) 420-7063
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 10888 | MD | |
| Clinical Social Worker | 1041C0700X | 10888 | MD | Primary |
Addresses
Primary practice location
3565 Ellicott Mills Dr Ste 206
Ellicott City, MD 21043-4559
Mailing address
3147 Kings CT
Ellicott City, MD 21042-2348
Other practice location 1
405 Frederick Rd
Suite 251
Baltimore, MD 21228
Phone (410) 788-3019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10888 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Children & Adolescents | Past | Accepting new patients | |
| Suburban Mental Health Associates | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1225157787
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1063563070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1487781720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3147 KINGS CT",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210422348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3565 ELLICOTT MILLS DR STE 206",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210434559",
"telephone_number": "443-420-7063"
}
],
"practiceLocations": [
{
"address_1": "405 Frederick Rd",
"address_2": "Suite 251",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "21228",
"country_code": "US",
"telephone_number": "410-788-3019",
"fax_number": "410-788-3067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HYNES",
"first_name": "ANNE",
"middle_name": "SULLIVAN",
"credential": "LCSW C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "10888",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "10888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.