Active NPI
Mary Ellen Crosswhite, LCSW-C
- Clinical Social Worker
- Baltimore, MD
National Provider Identifier
1487985073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1401 Severn St
Baltimore, MD 21230-1740 - Phone
- (410) 752-5525
- Fax
- (410) 752-5531
- NPI assigned
- Jan 20, 2010
- Last updated
- Oct 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1401 Severn St
Baltimore, MD 21230-1740
Mailing address
230 Ridge Ave
Baltimore, MD 21286-5432
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212150600 | Medicaid | MD |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspirit Counseling Services, Inc. | Clinical | Past | Accepting new patients |
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": "1263945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349136000000",
"number": "1487985073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 RIDGE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212865432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 SEVERN ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212301740",
"telephone_number": "410-752-5525",
"fax_number": "410-752-5531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSSWHITE",
"first_name": "MARY",
"middle_name": "ELLEN",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-20",
"last_updated": "2012-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "212150600",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.