Individual provider Active NPI

Nancy Piccicuto, LCSW-C

  • Social Worker
  • Bel Air, MD
National Provider Identifier
1538548938
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
19972 Issued in MD
Practice address
1201 Agora Dr
Suite LB-2
Bel Air, MD 21014-6859
Phone
(410) 836-7332
NPI assigned
May 19, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 19972 MD Primary

Addresses

Primary practice location

1201 Agora Dr
Suite LB-2
Bel Air, MD 21014-6859

Mailing address

3237 Uniontown Way
Abingdon, MD 21009-2509

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
I20170211000198 MD Practitioner - Clinical Social Worker 1254614548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harford Counseling, LLCGroup PAC ID 6305983966, 3 clinicians

Practice addresses (Care Compare)

1201 Agora Dr
Suite LB2
Bel Air, MD 21014-6863
Phone (410) 836-7332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19972MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Harford Counseling, LLC CurrentSince Dec 1, 2016 Accepting new patients

Locations

1201 Agora Dr
Ste LB2
Bel Air, MD 21014
Phone (410) 303-5432

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": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1538548938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3237 UNIONTOWN WAY",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 AGORA DR",
            "address_2": "SUITE LB-2",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210146859",
            "telephone_number": "410-836-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCICUTO",
        "first_name": "NANCY",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "19972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.