Individual provider Active NPI

Nancy Basner, MSW, LCSW-C

  • Clinical Social Worker
  • Lutherville, MD
National Provider Identifier
1629565692
Registry record updated Oct 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1304 Bellona Ave
Lutherville, MD 21093-5425
Phone
(443) 761-3369
NPI assigned
Apr 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2022

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 MD Primary

Addresses

Primary practice location

1304 Bellona Ave
Lutherville, MD 21093-5425

Mailing address

1304 Bellona Ave
Lutherville, MD 21093-5425
Phone (443) 761-3369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 18, 2025 through Jul 18, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667088000000",
    "number": "1629565692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 BELLONA AVE",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935425",
            "telephone_number": "443-761-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 BELLONA AVE",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935425",
            "telephone_number": "443-761-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASNER",
        "first_name": "NANCY",
        "credential": "MSW, LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2022-10-30",
        "certification_date": "2022-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.