Active NPI
Charlene Nicole Macpherson, LCSWC
- Clinical Social Worker
- Linthicum, MD
National Provider Identifier
1649527979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16087
- Practice address
- 300 W Maple Rd
Linthicum, MD 21090-2434 - Phone
- (410) 443-0177
- NPI assigned
- Aug 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 16087 | MD | Primary |
Addresses
Primary practice location
300 W Maple Rd
Linthicum, MD 21090-2434
Mailing address
300 W Maple Rd
Linthicum, MD 21090-2434
Phone (410) 443-0177
Other practice location 1
434 Kingwood Rd
Linthicum, MD 21090-1922
Phone (410) 443-0177
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16087 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nerd Adventure Therapy 20 LLC | Clinical | Past | 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": "1344211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1649527979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W MAPLE RD",
"city": "LINTHICUM",
"state": "MD",
"postal_code": "210902434",
"telephone_number": "410-443-0177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W MAPLE RD",
"city": "LINTHICUM",
"state": "MD",
"postal_code": "210902434",
"telephone_number": "410-443-0177"
}
],
"practiceLocations": [
{
"address_1": "434 Kingwood Rd",
"address_purpose": "LOCATION",
"city": "Linthicum",
"state": "MD",
"postal_code": "210901922",
"country_code": "US",
"telephone_number": "410-443-0177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACPHERSON",
"first_name": "CHARLENE",
"middle_name": "NICOLE",
"credential": "LCSWC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-06",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "16087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Linthicum, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.