Individual provider Active NPI

Susan Ashley Taylor, CMA, MSW, LCSW-C

  • Clinical Social Worker
  • Greenbelt, MD
National Provider Identifier
1598177594
Registry record updated Mar 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16966 Issued in MD
Practice address
9111 Edmonston Rd Ste 303
Greenbelt, MD 20770-1552
Phone
(443) 540-2875
NPI assigned
May 24, 2014
Last updated
Mar 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2024

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
Clinical Social Worker 1041C0700X 16966 MD Primary

Addresses

Primary practice location

9111 Edmonston Rd Ste 303
Greenbelt, MD 20770-1552

Mailing address

22H Hillside Rd Unit H
Greenbelt, MD 20770-1746
Phone (443) 540-2875

Other practice location 1

22H Hillside Rd Unit H
Greenbelt, MD 20770-1746
Phone (443) 540-2875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20240214003276 DC Practitioner - Clinical Social Worker 0446592695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

911 Edmonton Rd
Suite 303
Greenbelt, MD 20770-1507
Phone (443) 540-2875

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Medical Assistant

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, 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": "1400889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709424000000",
    "number": "1598177594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22H HILLSIDE RD UNIT H",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701746",
            "telephone_number": "443-540-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9111 EDMONSTON RD STE 303",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701552",
            "telephone_number": "443-540-2875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22H Hillside Rd Unit H",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "207701746",
            "country_code": "US",
            "telephone_number": "443-540-2875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SUSAN",
        "middle_name": "ASHLEY",
        "credential": "CMA, MSW, LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-24",
        "last_updated": "2024-03-03",
        "certification_date": "2024-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.