Individual provider Active NPI

Alice O'Donnell, LCSW.-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1548440894
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17989 Issued in MD
Practice address
5407 N Charles St
Baltimore, MD 21210-2024
Phone
(410) 433-2241
Fax
(410) 433-1249
NPI assigned
Nov 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R055581 NY
Clinical Social Worker 1041C0700X 17989 MD Primary

Addresses

Primary practice location

5407 N Charles St
Baltimore, MD 21210-2024

Mailing address

406 Ash Cir
Severna Park, MD 21146-2802
Phone (410) 647-7417

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
R055581NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inspirit Counseling Services, Inc. Clinical CurrentSince Aug 21, 2012 Accepting new patients

Locations

5407 N Charles St
Baltimore, MD 21210
Phone (410) 433-2241

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": "1194134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1548440894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 ASH CIR",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462802",
            "telephone_number": "410-647-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102024",
            "telephone_number": "410-433-2241",
            "fax_number": "410-433-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "ALICE",
        "credential": "LCSW.-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-04",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R055581",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.