Individual provider Active NPI

Mari G Craig

  • Clinical Social Worker
  • Rockville, MD
National Provider Identifier
1629124656
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09072 Issued in MD
Practice address
4064 Norbeck SQ Dr
Mari G Craig LCSW C
Rockville, MD 20853
Phone
(301) 929-9767
Fax
(301) 929-9767
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 09072 MD Primary

Addresses

Primary practice location

4064 Norbeck SQ Dr
Mari G Craig LCSW C
Rockville, MD 20853

Mailing address

4064 Norbeck SQ Dr
Mari G Craig LCSW C
Rockville, MD 20853
Phone (301) 929-9767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09072MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Diversified Counseling Services, LLC PastSince Feb 20, 2017 Accepting new patients
Bleach and Associates, LLC Clinical Past Accepting new patients

Organizations & group practices 2

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629124656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4064 NORBECK SQ DR",
            "address_2": "MARI G CRAIG LCSW C",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20853",
            "telephone_number": "301-929-9767",
            "fax_number": "301-929-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4064 NORBECK SQ DR",
            "address_2": "MARI G CRAIG LCSW C",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20853",
            "telephone_number": "301-929-9767",
            "fax_number": "301-929-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "MARI",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.