Individual provider Active NPI

Patricia Ann Caruana, L.C.S.W.-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1700948932
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
08427 Issued in MD
Practice address
6611 Marietta Ave
Baltimore, MD 21214-1112
Phone
(410) 687-6060
Fax
(410) 878-2325
NPI assigned
Dec 14, 2006
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 08427 MD Primary

Addresses

Primary practice location

6611 Marietta Ave
Baltimore, MD 21214-1112

Mailing address

6611 Marietta Ave
Baltimore, MD 21214-1112
Phone (410) 687-6060

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700948932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6611 MARIETTA AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141112",
            "telephone_number": "410-687-6060",
            "fax_number": "410-878-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 MARIETTA AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141112",
            "telephone_number": "410-687-6060",
            "fax_number": "410-878-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUANA",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "08427",
            "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 Jul 8, 2007; 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.