Individual provider Active NPI

Cordell Drummond, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1619420163
Registry record updated Oct 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22075 Issued in MD
Practice address
1111 Washington Blvd
Baltimore, MD 21230-1824
Phone
(410) 383-8300
NPI assigned
Aug 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2019

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 22075 MD Primary

Addresses

Primary practice location

1111 Washington Blvd
Baltimore, MD 21230-1824

Mailing address

5114 Shelbourne Rd
Halethorpe, MD 21227-2305
Phone (443) 472-2955

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
I20191108001123 MD Practitioner - Clinical Social Worker 3971935172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Health Care IncGroup PAC ID 0446258487, 57 clinicians

Practice addresses (Care Compare)

1111 Washington Blvd
Baltimore, MD 21230-1824
Phone (410) 383-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22075MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Care Inc CurrentSince Oct 1, 2019 Accepting new patients
Total Health Care Inc. CurrentSince Oct 1, 2019 Accepting new patients
Total Health Care Inc Current Accepting new patients
Total Health Care Inc Past Accepting new patients

Locations

1501 W Saratoga St
Baltimore, MD 21223
Phone (410) 383-7197

1111 Washington Blvd
Baltimore, MD 21230
Phone (410) 783-1859

2400 Kirk Ave
Baltimore, MD 21218
Phone (410) 243-1800

1501 Division St
Baltimore, MD 21217
Phone (410) 735-5390

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJFJBD

Organizations & group practices 4

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": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570924800000",
    "number": "1619420163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5114 SHELBOURNE RD",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212272305",
            "telephone_number": "443-472-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 WASHINGTON BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212301824",
            "telephone_number": "410-383-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUMMOND",
        "first_name": "CORDELL",
        "name_prefix": "Mr.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-02",
        "last_updated": "2019-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "22075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.