Individual provider Active NPI

Linda Theresa Beam, LCSWC

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1720196280
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10245 Issued in MD
Practice address
600 Providence Rd
The Counseling Center
Baltimore, MD 21286-5503
Phone
(410) 583-7443
Fax
(410) 583-0711
NPI assigned
Aug 26, 2006
Sex
Female
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 10245 MD Primary

Addresses

Primary practice location

600 Providence Rd
The Counseling Center
Baltimore, MD 21286-5503

Mailing address

600 Providence Rd
The Counseling Center
Baltimore, MD 21286-5503
Phone (410) 583-7443

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
I20090116000041 MD Practitioner - Clinical Social Worker 5799848701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stacy Stoddard Lcmft and Associates PAGroup PAC ID 7315000114, 6 clinicians

Practice addresses (Care Compare)

602 Providence Rd
Towson, MD 21286-5503
Phone (410) 583-7443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10245MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stacy Stoddard Lcmft and Associates PA Clinical CurrentSince Jan 1, 2007 Accepting new patients

Locations

600 Providence Rd
Towson, MD 21286
Phone (410) 583-7443

602 Providence Rd
Towson, MD 21286
Phone (410) 583-7443

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": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720196280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PROVIDENCE RD",
            "address_2": "THE COUNSELING CENTER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212865503",
            "telephone_number": "410-583-7443",
            "fax_number": "410-583-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PROVIDENCE RD",
            "address_2": "THE COUNSELING CENTER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212865503",
            "telephone_number": "410-583-7443",
            "fax_number": "410-583-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAM",
        "first_name": "LINDA",
        "middle_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "LCSWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.