Individual provider Active NPI

Catherine Anne Proa, L.C.S.W.-C

  • Clinical Social Worker
  • Cambridge, MD
National Provider Identifier
1598073355
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23368 Issued in MD
Practice address
502 Poplar St
Cambridge, MD 21613-1834
Phone
(443) 225-5780
NPI assigned
Sep 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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 23368 MD Primary

Addresses

Primary practice location

502 Poplar St
Cambridge, MD 21613-1834

Mailing address

2192 Quail Run Dr
Trappe, MD 21673-1718
Phone (410) 829-5421

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
I20171114001105 MD Practitioner - Clinical Social Worker 5496011108 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23368MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arundel Mental Health Professionals LLC CurrentSince Dec 1, 2024 Accepting new patients
Arundel Mental Health Professionals LLC CurrentSince Dec 1, 2024 Accepting new patients
Arundel Mental Health Professionals L.C. CurrentSince Dec 1, 2024 Accepting new patients

Locations

810 Bestgate Rd
Ste 325
Annapolis, MD 21401
Phone (443) 906-3500

1511 Ritchie Hwy
Ste 202
Arnold, MD 21012
Phone (410) 757-5184

1662 Village Grn
#B
Crofton, MD 21114

8133 Elliott Rd
Ste 236A
Easton, MD 21601
Phone (443) 906-3506

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arundel Mental Health Professionals LC 118 clinicians

Practice addresses (Care Compare)

8133 Elliott Rd
Suite 236a
Easton, MD 21601-2932
Phone (443) 906-3506

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1598073355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2192 QUAIL RUN DR",
            "city": "TRAPPE",
            "state": "MD",
            "postal_code": "216731718",
            "telephone_number": "410-829-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 POPLAR ST",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131834",
            "telephone_number": "443-225-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROA",
        "first_name": "CATHERINE",
        "middle_name": "ANNE",
        "credential": "L.C.S.W.-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "23368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

Verify at the official NPI Registry.