Individual provider Active NPI

Carol Ann Halpin, RN LCSW-C

  • Clinical Social Worker
  • Towson, MD
National Provider Identifier
1679659023
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
04587 Issued in MD
Practice address
6525 N Charles St
Gibson Building Suite 224
Towson, MD 21204-6872
Phone
(410) 938-8457
NPI assigned
Oct 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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 04587 MD Primary

Addresses

Primary practice location

6525 N Charles St
Gibson Building Suite 224
Towson, MD 21204-6872

Mailing address

754 Leister Dr
Timonium, MD 21093-7418
Phone (410) 252-9795

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
I20081008000614 MD Practitioner - Clinical Social Worker 9032287768 Reassigns benefits to 1 organization
Practice locations: Towson, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anxiety and Stress Disorders Institute of MarylandGroup PAC ID 1850341215, 6 clinicians

Practice addresses (Care Compare)

6525 N Charles St
Suite 224
Towson, MD 21204-6834
Phone (410) 938-8449

6525 N Charles St
Suite 224
Towson, MD 21204-6872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
04587MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Anxiety and Stress Disorders Institute of Maryland CurrentSince Sep 14, 1998 Accepting new patients

Locations

6525 N Charles St
Ste 224
Towson, MD 21204
Phone (410) 938-8449

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": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679659023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 LEISTER DR",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210937418",
            "telephone_number": "410-252-9795",
            "fax_number": "410-583-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 N CHARLES ST",
            "address_2": "GIBSON BUILDING SUITE 224",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046872",
            "telephone_number": "410-938-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALPIN",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "04587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.