Active NPI
Vera N Moukam, LGSW
- Social Worker
- Randallstown, MD
National Provider Identifier
1538467204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 16529
- Practice address
- 9614 Antler Cir
Randallstown, MD 21133-2049 - Phone
- (410) 496-3022
- Fax
- (410) 922-8725
- NPI assigned
- Mar 4, 2011
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 16529 | MD | Primary |
Addresses
Primary practice location
9614 Antler Cir
Randallstown, MD 21133-2049
Mailing address
24 Enchanted Hills Rd
Apt 101
Owings Mills, MD 21117-2532
Phone (202) 674-0901
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 |
|---|---|---|---|
| 16529 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CM Therapeutic Group 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.
-
- Professional Counselor
- Randallstown, MD
- NPI 1316175284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299196800000",
"number": "1538467204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 ENCHANTED HILLS RD",
"address_2": "APT 101",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211172532",
"telephone_number": "202-674-0901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9614 ANTLER CIR",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211332049",
"telephone_number": "410-496-3022",
"fax_number": "410-922-8725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUKAM",
"first_name": "VERA",
"middle_name": "N",
"credential": "LGSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-04",
"last_updated": "2011-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "16529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Randallstown, MD
- Mohamed Mwinyimvua Mohamed, MD
- Christina A. Morgan, PTA
- Morning Star Group Services Inc
- Celeste Mortenson, C.O.T.A.
- Barnitta Latricia Moses, CPNP
- Mukta Medical Inc
- Multi-Dimensional Community Health Services Inc
- Multi-Dimensional Community Health Services Inc
- Morgan Ariel Murray, CRNP
- Terrianne Nankoma, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.