Individual provider Active NPI

Moshe Yitzchak Markowitz, LCSW-C, LCADC

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1669957890
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12629 Issued in MD
Practice address
3709 Bancroft Rd
Baltimore, MD 21215-2701
Phone
(410) 929-0222
Fax
(866) 530-3436
NPI assigned
Oct 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCA432 MD
Clinical Social Worker 1041C0700X 12629 MD Primary

Addresses

Primary practice location

3709 Bancroft Rd
Baltimore, MD 21215-2701

Mailing address

600 Reisterstown Rd Ste 600C
Pikesville, MD 21208-5133
Phone (410) 929-0222

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

LicenseStateTypeSpecialty
LCA432MDMDAddiction (Substance Use Disorder) Counselor
12629MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1669957890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 REISTERSTOWN RD STE 600C",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212085133",
            "telephone_number": "410-929-0222",
            "fax_number": "866-530-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 BANCROFT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152701",
            "telephone_number": "410-929-0222",
            "fax_number": "866-530-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOWITZ",
        "first_name": "MOSHE",
        "middle_name": "YITZCHAK",
        "name_prefix": "Dr.",
        "credential": "LCSW-C, LCADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA432",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.