Individual provider Active NPI

Maura Vilkoski

  • Clinical Social Worker
  • Lusby, MD
National Provider Identifier
1700595998
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17841 Issued in MD
Practice address
225 Town Square Dr Ste 3
Lusby, MD 20657-6535
Phone
(410) 231-0488
Fax
(410) 449-6171
NPI assigned
Nov 16, 2022
Last updated
Nov 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 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 17841 MD Primary

Addresses

Primary practice location

225 Town Square Dr Ste 3
Lusby, MD 20657-6535

Mailing address

225 Town Square Dr Ste 3
Lusby, MD 20657-6535
Phone (410) 231-0488

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@bluesailscounseling.com Blue Sails Counseling and Consulting, Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: No
  • 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
I20221215002161 MD Practitioner - Clinical Social Worker 1153790027 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17841MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Sails Counseling and Consulting, Inc CurrentSince Dec 16, 2022 Accepting new patients

Locations

225 Town Square Dr
Ste 3
Lusby, MD 20657
Phone (410) 231-0488

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": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1700595998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 TOWN SQUARE DR STE 3",
            "city": "LUSBY",
            "state": "MD",
            "postal_code": "206576535",
            "telephone_number": "410-231-0488",
            "fax_number": "410-449-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 TOWN SQUARE DR STE 3",
            "city": "LUSBY",
            "state": "MD",
            "postal_code": "206576535",
            "telephone_number": "410-231-0488",
            "fax_number": "410-449-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILKOSKI",
        "first_name": "MAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@bluesailscounseling.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Blue Sails Counseling and Consulting, Inc",
            "address_1": "225 Town Square Dr Ste 3",
            "city": "Lusby",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206576535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lusby, MD

Sources for this page

Verify at the official NPI Registry.