Individual provider Active NPI

William Francis Clare IV, LCSW-C

  • Clinical Social Worker
  • Frederick, MD
National Provider Identifier
1720177769
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
08321 Issued in MD
Practice address
604 Solarex CT
Suite 201
Frederick, MD 21703-7005
Phone
(301) 663-8263
Fax
(301) 682-5326
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

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 08321 MD Primary

Addresses

Primary practice location

604 Solarex CT
Suite 201
Frederick, MD 21703-7005

Mailing address

6501 N Charles St
Baltimore, MD 21204-6819
Phone (410) 938-3464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070213000202 MD Practitioner - Clinical Social Worker 8123020682 Reassigns benefits to 1 organization
I20240116001260 DC Practitioner - Clinical Social Worker 8123020682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychcare Psychological Services LLCGroup PAC ID 2264660133, 19 clinicians

Practice addresses (Care Compare)

104 Church LN
Suite 101And102
Baltimore, MD 21208-3786
Phone (410) 343-9756

12501 Prosperity Dr
Suite 310
Silver Spring, MD 20904-1699
Phone (410) 343-9756

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08321MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychcare Psychological Services, LLC CurrentSince Apr 11, 2019 Accepting new patients

Locations

6325 Woodside Ct
Ste 350
Columbia, MD 21046
Phone 41034397569

104 Church Ln
Ste 101102
Pikesville, MD 21208
Phone (410) 343-9756

104 Church Ln
Ste 101
Pikesville, MD 21208
Phone (410) 343-9756

12501 Prosperity Dr
Ste 310
Silver Spring, MD 20904
Phone (240) 780-8884

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720177769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046819",
            "telephone_number": "410-938-3464",
            "fax_number": "410-938-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 SOLAREX CT",
            "address_2": "SUITE 201",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037005",
            "telephone_number": "301-663-8263",
            "fax_number": "301-682-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARE",
        "first_name": "WILLIAM",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "08321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.