Mary Patricia Trumbule, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22309 Issued in MD

Practice address

22221 Westernport Rd SW
Westernport, MD 21562-2206

Phone

(240) 774-0204

Fax

(301) 533-3299

NPI assigned

May 18, 2017

Last updated

Mar 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Steeple City Psychological Services LLCGroup PAC ID 4587982996, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Steeple City Psychological Services, LLC

  • Clinical Psychologist
  • Lavale, MD
  • NPI 1649675992
  Medicare reassignment Care Compare group NPD
• Western Maryland Health Care Corporation

  dba Mountain Laurel Medical Center

  • Federally Qualified Health Center (FQHC)
  • Bruceton Mills, WV
  • NPI 1679269807
  NPD (past)

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1710414958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22221 WESTERNPORT RD SW",
            "city": "WESTERNPORT",
            "state": "MD",
            "postal_code": "215622206",
            "telephone_number": "240-774-0204",
            "fax_number": "301-533-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22221 WESTERNPORT RD SW",
            "city": "WESTERNPORT",
            "state": "MD",
            "postal_code": "215622206",
            "telephone_number": "240-774-0204",
            "fax_number": "301-533-3299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Glenn St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215022583",
            "country_code": "US",
            "telephone_number": "240-580-1919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUMBULE",
        "first_name": "MARY",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2021-03-09",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "22309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nika Spiker
• Regina Sutherland
• Jeannette Lois Sweitzer, CRNP
• Carol Jo Thomas, RN
• Tri-Towns Ambulance Inc
• Vicky Lynn Umstot, OTR/L
• Upmc Western Maryland Health Services, LLC
• Courtney Vandergrift
• Keiley Michele Vandergrift
• Vincent F. Fiorentino, DDS, PC

• Clinical Social Worker in Westernport, MD
• Providers in Westernport, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.