Individual provider Active NPI

Caroline Gaines, LCSW-C

  • Clinical Social Worker
  • Catonsville, MD
National Provider Identifier
1730750654
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19090 Issued in MD
Practice address
516 N Rolling Rd Ste 305
Catonsville, MD 21228-4142
Phone
(410) 504-3793
NPI assigned
Jul 2, 2021
Last updated
Jul 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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 19090 MD Primary

Addresses

Primary practice location

516 N Rolling Rd Ste 305
Catonsville, MD 21228-4142

Mailing address

516 N Rolling Rd Ste 305
Catonsville, MD 21228-4142
Phone (410) 504-3793

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
I20250826001254 MD Practitioner - Clinical Social Worker 8426420308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focused Care Therapy Group LLCGroup PAC ID 5890167779, 2 clinicians

Practice addresses (Care Compare)

3355 Saint Johns LN
Ellicott City, MD 21042-2605
Phone (443) 203-8050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Focused Care Therapy Group LLC Clinical CurrentSince Jan 20, 2022 Accepting new patients
MPB Group Inc PastSince Mar 5, 2023 Accepting new patients
MPB Group Inc PastSince Jul 1, 2021 Accepting new patients

Locations

3355 Saint Johns Ln
Ellicott City, MD 21042
Phone (443) 203-8050

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1730750654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 N ROLLING RD STE 305",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284142",
            "telephone_number": "410-504-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 N ROLLING RD STE 305",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284142",
            "telephone_number": "410-504-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "CAROLINE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.