Individual provider Active NPI

Steven Lee Hartsock, PH.D., MSW

  • Clinical Social Worker
  • Cumberland, MD
National Provider Identifier
1497820401
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05121 Issued in MD
Practice address
81 Baltimore St Ste 212
Cumberland, MD 21502-3065
Phone
(301) 777-9005
Fax
(301) 777-3022
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 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 05121 MD Primary

Addresses

Primary practice location

81 Baltimore St Ste 212
Cumberland, MD 21502-3065

Mailing address

PO Box 1493
Cumberland, MD 21501-1493
Phone (301) 777-9005

Other identifiers 1

IdentifierTypeStateIssuer
439831900MedicaidMD

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
I20031231000539 MD Practitioner - Clinical Social Worker 6800795584 Practice locations: Cumberland, MD

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
05121MDMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1497820401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1493",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215011493",
            "telephone_number": "301-777-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 BALTIMORE ST STE 212",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023065",
            "telephone_number": "301-777-9005",
            "fax_number": "301-777-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTSOCK",
        "first_name": "STEVEN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PH.D., MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "05121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "439831900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.