Active NPI
Michael Misterka
- Clinical Social Worker
- Westminster, MD
National Provider Identifier
1720407919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16573
- Practice address
- 3427 Salem Bottom Rd
Westminster, MD 21157-8028 - Phone
- (410) 857-5786
- NPI assigned
- Apr 15, 2014
- Last updated
- Apr 15, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 16573 | MD | Primary |
Addresses
Primary practice location
3427 Salem Bottom Rd
Westminster, MD 21157-8028
Mailing address
3427 Salem Bottom Rd
Westminster, MD 21157-8028
Phone (410) 857-5786
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180423000766 | MD | Practitioner - Clinical Social Worker | 2062714629 | Practice locations: Westminster, MD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16573 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397520000000",
"number": "1720407919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3427 SALEM BOTTOM RD",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211578028",
"telephone_number": "410-857-5786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3427 SALEM BOTTOM RD",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211578028",
"telephone_number": "410-857-5786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISTERKA",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-15",
"last_updated": "2014-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "16573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westminster, MD
- Jennifer Rachel Miltenberger, LMSW
- Mindful Living Counseling, LLC
- Minuteclinic LLC
- Yasir M. Mir, D.P.M.
- Steven L Mires, PA
- Jeanette Ophelia Mitchell, NURSE PRACTITIONER
- Jay Mittal, MD
- Chinenye Elizabeth Mkpasi, REGISTERED NURSE
- MNR Industries, LLC (ExpressCare of Westminster)
- MNR Industries, LLC. (Children's Urgent Care of Westminster)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.