Active NPI
Andrea Clare Mazzarino, MSW, LCSW-C, PHD
- Clinical Social Worker
- Barnesville, MD
National Provider Identifier
1538649397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 24294
- Practice address
- 22611 Old Hundred Rd
Barnesville, MD 20838-9734 - Phone
- (401) 525-8858
- NPI assigned
- Aug 20, 2018
- Last updated
- May 12, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 24294 | MD | Primary |
| Clinical Social Worker | 1041C0700X | 0904013602 | VA |
Addresses
Primary practice location
22611 Old Hundred Rd
Barnesville, MD 20838-9734
Mailing address
22611 Old Hundred Rd
Barnesville, MD 20838-9734
Phone (401) 525-8858
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Therapynotes.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
22611 Old Hundred Rd
Barnesville, MD 20838-9734
Phone (401) 525-8858
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904013602 | VA | MD | Clinical Social Worker |
| 24294 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monocacy Therapy LLC | Clinical | Current | Accepting new patients |
Locations
9301 Annapolis Rd
Ste 300
Lanham, MD 20706
Phone (240) 296-5848
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652313600000",
"number": "1538649397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22611 OLD HUNDRED RD",
"city": "BARNESVILLE",
"state": "MD",
"postal_code": "208389734",
"telephone_number": "401-525-8858",
"fax_number": "401-525-8858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22611 OLD HUNDRED RD",
"city": "BARNESVILLE",
"state": "MD",
"postal_code": "208389734",
"telephone_number": "401-525-8858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZZARINO",
"first_name": "ANDREA",
"middle_name": "CLARE",
"name_prefix": "Dr.",
"credential": "MSW, LCSW-C, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-20",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "24294",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904013602",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Therapynotes.com",
"affiliation": "N",
"endpointDescription": "EMR",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "22611 Old Hundred Rd",
"city": "Barnesville",
"state": "MD",
"country_code": "US",
"postal_code": "208389734",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Barnesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.