Individual provider Active NPI

Theresa Huffines, LCSW-C

  • Clinical Social Worker
  • Salisbury, MD
National Provider Identifier
1588058663
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19075 Issued in MD
Practice address
809 Eastern Shore Dr
Salisbury, MD 21804-5934
Phone
(410) 334-6687
NPI assigned
Mar 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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 19075 MD Primary

Addresses

Primary practice location

809 Eastern Shore Dr
Salisbury, MD 21804-5934

Mailing address

412 Pine Bluff Rd
Salisbury, MD 21801-7111
Phone (240) 486-0694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190418001566 MD Practitioner - Clinical Social Worker 6406197581 Reassigns benefits to 2 organizations
I20240704000283 FL Practitioner - Clinical Social Worker 6406197581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

Bradenton, FL 34212
Phone (941) 867-8033

116 Baptist St
Salisbury, MD 21801-4911
Phone (204) 486-0694

1910 Towne Centre Blvd
Suite 250
Annapolis, MD 21401-3599
Phone (866) 630-0966

333 SE 2ND Ave
Suite 2000
Miami, FL 33131-2185
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Jul 15, 2021 Accepting new patients
Innovative State of Mind LLC Clinical CurrentSince Oct 29, 2019 Accepting new patients

Locations

13118 Sr 64
Bradenton, FL 34212
Phone (941) 867-8033

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

1910 Towne Centre Blvd
Ste 250
Annapolis, MD 21401
Phone (202) 596-8891

116 Baptist St
Salisbury, MD 21801
Phone (204) 486-0694

1147 S Salisbury Blvd
Ste 8
Salisbury, MD 21801
Phone (302) 363-5839

Organizations & group practices 2

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": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1588058663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 PINE BLUFF RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017111",
            "telephone_number": "240-486-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 EASTERN SHORE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045934",
            "telephone_number": "410-334-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFINES",
        "first_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.