Casey Lynn Vendetti

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

Practice address

280 Stafford Road
Barstow, MD 20610

Phone

(410) 535-4300

NPI assigned

Aug 30, 2019

Last updated

Aug 30, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Calvert County Health Department

  dba Calvert County Mental Health Clinic

  • Adult Mental Health Clinic/Center
  • Prince Frederick, MD
  • NPI 1609137918
  Medicare reassignment NPD
• Calvert County Health Department

  dba Calvert County Mental Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lusby, MD
  • NPI 1346891025
  NPD
• Calvert County Health Department

  dba Calvert County Mental Health Clinic

  • Adolescent and Children Mental Health Clinic/Center
  • Lusby, MD
  • NPI 1831546845
  NPD
• Arundel Mental Health Professionals L.C.

  dba LifeStance Health

  • Clinical Psychologist
  • Arnold, MD
  • NPI 1073649521
  NPD (past)

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1609424852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12596 CATALINA DR",
            "city": "LUSBY",
            "state": "MD",
            "postal_code": "206574429",
            "telephone_number": "443-684-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 STAFFORD ROAD",
            "city": "BARSTOW",
            "state": "MD",
            "postal_code": "20610",
            "telephone_number": "410-535-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENDETTI",
        "first_name": "CASEY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "CEP821053299",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Calvert County Health Department (Calvert County Mental Health Clinic)
• Calvert County Health Department (Calvert County Mental Health Clinic)
• CCHD - Substance Abuse Srvcs - Barstow
• Shana Nicole Grimes, LGSW
• Jesse Tiralla

• School Social Worker in Barstow, MD
• Providers in Barstow, MD by specialty
• School Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.