Individual provider Active NPI

Ellen Anderson Fitzmaurice

  • Clinical Social Worker
  • Severna Park, MD
National Provider Identifier
1508701376
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15321 Issued in MD
Practice address
565 Benfield Rd Ste 300
Severna Park, MD 21146-2517
Phone
(667) 777-4935
Fax
(443) 775-7733
NPI assigned
Apr 20, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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 15321 MD Primary

Addresses

Primary practice location

565 Benfield Rd Ste 300
Severna Park, MD 21146-2517

Mailing address

565 Benfield Rd Ste 300
Severna Park, MD 21146-2517
Phone (667) 777-4935

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

LicenseStateTypeSpecialty
15321MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bradford Counseling Services, LLC PastSince Aug 17, 2025 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1776643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1508701376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 BENFIELD RD STE 300",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462517",
            "telephone_number": "667-777-4935",
            "fax_number": "443-775-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 BENFIELD RD STE 300",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462517",
            "telephone_number": "667-777-4935",
            "fax_number": "443-775-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON FITZMAURICE",
        "first_name": "ELLEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.