Individual provider Active NPI

Judie Thompson-Stokes, LCSW-C

  • Clinical Social Worker
  • Towson, MD
National Provider Identifier
1568659555
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06577 Issued in MD
Practice address
6 Airway Cir
Towson, MD 21286-3464
Phone
(410) 383-5100
Fax
(410) 383-4973
NPI assigned
Oct 3, 2007
Last updated
Sep 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 06577 MD Primary

Addresses

Primary practice location

6 Airway Cir
Towson, MD 21286-3464

Mailing address

6 Airway Cir
Towson, MD 21286-3464
Phone (443) 453-2171

Other identifiers 1

IdentifierTypeStateIssuer
588991000MedicaidMD

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
I20141027000143 MD Practitioner - Clinical Social Worker 9830310382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Safe Harbor Behavioral Care LLCGroup PAC ID 0345514675, 81 clinicians

Practice addresses (Care Compare)

1208 E Churchville Rd
Suite 300
Bel Air, MD 21014-3485
Phone (410) 893-4600

606 Baltimore Ave
Suite 406
Baltimore, MD 21204-4073
Phone (410) 893-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06577MDMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Christian Counseling LLC Clinical CurrentSince Sep 1, 2014 Accepting new patients
Safe Harbor Behavioral Care, LLC Clinical CurrentSince Mar 1, 2019 Accepting new patients
Safe Harbor Community Services PastSince Jun 1, 2023 Accepting new patients
The Care Group at Safe Harbor Clinical Past Accepting new patients

Locations

1100 E Northern Pkwy
Baltimore, MD 21239

606 Baltimore Ave
Ste 406
Baltimore, MD 21204

1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500

2227 Old Emmorton Rd
Ste 119
Bel Air, MD 21015
Phone 4108934600 ext. 223

Organizations & group practices 4

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": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1568659555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 AIRWAY CIR",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212863464",
            "telephone_number": "443-453-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 AIRWAY CIR",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212863464",
            "telephone_number": "410-383-5100",
            "fax_number": "410-383-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON-STOKES",
        "first_name": "JUDIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2024-09-11",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "06577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "588991000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.