Individual provider Active NPI

Maia G Gemignani, LCSW-C

  • Clinical Social Worker
  • Frederick, MD
National Provider Identifier
1518082007
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11787 Issued in MD
Practice address
256 W Patrick St
Suite 3
Frederick, MD 21701-6907
Phone
(240) 422-5111
Fax
(301) 668-9110
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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 11787 MD Primary

Addresses

Primary practice location

256 W Patrick St
Suite 3
Frederick, MD 21701-6907

Mailing address

10846 Gambrill Park Rd
Frederick, MD 21702-1618
Phone (240) 422-5111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 26, 2025 through Mar 26, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11787MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1518082007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10846 GAMBRILL PARK RD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217021618",
            "telephone_number": "240-422-5111",
            "fax_number": "301-668-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 W PATRICK ST",
            "address_2": "SUITE 3",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016907",
            "telephone_number": "240-422-5111",
            "fax_number": "301-668-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEMIGNANI",
        "first_name": "MAIA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.