Individual provider Active NPI

Heather Paige McConagha Macnaughton

  • Clinical Social Worker
  • Waldorf, MD
National Provider Identifier
1669153516
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22103 Issued in MD
Practice address
2670 Crain Hwy Ste 300
Waldorf, MD 20601-2817
Phone
(240) 298-9485
NPI assigned
Jul 25, 2023
Last updated
Jul 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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 22103 MD Primary

Addresses

Primary practice location

2670 Crain Hwy Ste 300
Waldorf, MD 20601-2817

Mailing address

PO Box 129
Waldorf, MD 20604-0129
Phone (240) 298-9485

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
I20230911001035 MD Practitioner - Clinical Social Worker 1153785100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pathways IncGroup PAC ID 8527160597, 16 clinicians

Practice addresses (Care Compare)

44101 Airport View Dr
Hollywood, MD 20636-3145
Phone 3013733065241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22103MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Inc CurrentSince Oct 1, 2023 Accepting new patients

Locations

44101 Airport View Dr
Hollywood, MD 20636
Phone (301) 373-3065

501 Main St
Ste 203
Prince Frederick, MD 20678
Phone (301) 373-3065

2670 Crain Hwy
Ste 300
Waldorf, MD 20601
Phone (301) 373-3065

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1669153516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206040129",
            "telephone_number": "240-298-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 CRAIN HWY STE 300",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012817",
            "telephone_number": "240-298-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACNAUGHTON",
        "first_name": "HEATHER",
        "middle_name": "PAIGE MCCONAGHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "22103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.