Individual provider Active NPI

Michael Anthony Layne, LCSW-C

  • Clinical Social Worker
  • Owings Mills, MD
National Provider Identifier
1740466465
Registry record updated Jan 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12953 Issued in MD
Practice address
20 Pleasant Ridge Dr Ste a
Owings Mills, MD 21117-2560
Phone
(443) 544-7744
Fax
(443) 870-3129
NPI assigned
Jan 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2025

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 12953 MD Primary

Addresses

Primary practice location

20 Pleasant Ridge Dr Ste a
Owings Mills, MD 21117-2560

Mailing address

20 Pleasant Ridge Dr Ste E
Owings Mills, MD 21117-2560
Phone (443) 544-7744

Other identifiers 1

IdentifierTypeStateIssuer
4115422 00MedicaidMD

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
I20210303002144 MD Practitioner - Clinical Social Worker 9234542374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20 Pleasant Ridge Dr
Suite E
Owings Mills, MD 21117-2560
Phone (443) 544-7744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12953MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Emerge, LLC Clinical CurrentSince Jul 18, 2023 Accepting new patients
Enyal Family Therapy Services Clinical CurrentSince Nov 24, 2020 Accepting new patients

Locations

20 Pleasant Ridge Dr
Owings Mills, MD 21117

20 Pleasant Ridge Dr
Ste A
Owings Mills, MD 21117
Phone (410) 902-5940

20 Pleasant Ridge Dr
Ste E
Owings Mills, MD 21117
Phone (410) 753-2304

515 E Joppa Rd
Ste 100
Towson, MD 21286
Phone (410) 337-0938

Organizations & group practices 2

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": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737244800000",
    "number": "1740466465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PLEASANT RIDGE DR STE E",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172560",
            "telephone_number": "443-544-7744",
            "fax_number": "443-870-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PLEASANT RIDGE DR STE A",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172560",
            "telephone_number": "443-544-7744",
            "fax_number": "443-870-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYNE",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-11",
        "last_updated": "2025-01-19",
        "certification_date": "2025-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4115422 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.