Active NPI
Dana M Hackey, LCSW-C
- Clinical Social Worker
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14435
- Practice address
- 22 E Second St
Frederick, MD 21701-5303 - Phone
- (240) 422-3556
- Fax
- (301) 698-9369
- NPI assigned
- Mar 16, 2012
- Last updated
- Jul 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | AC1561 | MD | |
| Clinical Social Worker | 1041C0700X | 14435 | MD | Primary |
Addresses
Primary practice location
22 E Second St
Frederick, MD 21701-5303
Mailing address
26826 Kaye Rd
Laurel, DE 19956-2608
Phone (240) 422-3556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1925 Greenspring Dr
Timonium, MD 21093-4128
Phone (410) 938-5434
610 E Diamond Ave
Gaithersburg, MD 20877-5321
Phone (301) 840-3200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC1561 | MD | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Way Station, Inc. | Current | Accepting new patients | |
| Mosaic Community Services, Inc. | Current | Accepting new patients | |
| Mosaic Community Services, Inc | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Family Services, Inc | Current | Accepting new patients | |
| Family Services, Inc. | Current | Accepting new patients |
Locations
2225 N Charles St
Baltimore, MD 21218
Phone (410) 366-4360
210 Abrecht Pl
Frederick, MD 21701
Phone (301) 663-8263
610 E Diamond Ave
Gaithersburg, MD 20877
Phone (301) 840-3200
610 E Diamond Ave
Ste 100
Gaithersburg, MD 20877
Phone (301) 840-2000
328 N Potomac St
Hagerstown, MD 21740
Phone (410) 740-1901
1925 Greenspring Dr
Timonium, MD 21093
1931 Greenspring Dr
Timonium, MD 21093
Phone (410) 938-3464
288 E Green St
Westminster, MD 21157
Phone (410) 751-5970
Organizations & group practices 5
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.
-
dba Sheppard Pratt
- Adult Mental Health Clinic/Center
- Timonium, MD
- NPI 1265539142
-
dba Sheppard Pratt
- Substance Use Disorder Rehabilitation Clinic/Center
- Gaithersburg, MD
- NPI 1710466313
Addiction (Substance Use Disorder), DC
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hagerstown, MD
- NPI 1124490784
-
dba Aspire Counseling
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gaithersburg, MD
- NPI 1881218816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1548535073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26826 KAYE RD",
"city": "LAUREL",
"state": "DE",
"postal_code": "199562608",
"telephone_number": "240-422-3556",
"fax_number": "302-990-5985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 E SECOND ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217015303",
"telephone_number": "240-422-3556",
"fax_number": "301-698-9369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACKEY",
"first_name": "DANA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-16",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MD",
"license": "AC1561",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "14435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.