Active NPI
Ellen Anderson Fitzmaurice
- Clinical Social Worker
- Severna Park, MD
National Provider Identifier
1508701376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15321
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 15321 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradford Counseling Services, LLC | 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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Severna Park, MD
- NPI 1619441631
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.