Individual provider Active NPI

Michael Matthew Librie, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1609194208
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15900 Issued in MD
Practice address
2230 N Calvert St
Baltimore, MD 21218-5813
Phone
(410) 299-1233
NPI assigned
May 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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 15900 MD Primary

Addresses

Primary practice location

2230 N Calvert St
Baltimore, MD 21218-5813

Mailing address

PO Box 2557
Shallotte, NC 28459-2557
Phone (410) 299-1233

Other identifiers 2

IdentifierTypeStateIssuer
15900OtherMDLICENSED CERTIFIED SOCIAL WORKER-CLINICAL
0318485-00OtherMDMARYLAND MEDICAL ASSISTANCE PROGRAM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2021 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Counseling Services, LLC Clinical CurrentSince Apr 6, 2025 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1609194208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2557",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284592557",
            "telephone_number": "410-299-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 N CALVERT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185813",
            "telephone_number": "410-299-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBRIE",
        "first_name": "MICHAEL",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-07",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CERTIFIED SOCIAL WORKER-CLINICAL",
            "identifier": "15900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND MEDICAL ASSISTANCE PROGRAM",
            "identifier": "0318485-00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.