Individual provider Active NPI

Donald S Gann Jr., LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1760105365
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16553 Issued in MD
Practice address
2 Hamill Rd Ste 332
Baltimore, MD 21210-1813
Phone
(443) 266-2270
Fax
(888) 835-6363
NPI assigned
Sep 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 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 16553 MD Primary

Addresses

Primary practice location

2 Hamill Rd Ste 332
Baltimore, MD 21210-1813

Mailing address

2 Hamill Rd Ste 332
Baltimore, MD 21210-1813
Phone (443) 266-2270

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
I20221013001312 MD Practitioner - Clinical Social Worker 0941676191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stone Soup Counseling LLCGroup PAC ID 9032538137, 11 clinicians

Practice addresses (Care Compare)

2 Hamill Rd
Suite 332
Baltimore, MD 21210-1813
Phone (443) 266-2270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16553MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Soup Counseling, LLC Clinical CurrentSince Sep 23, 2022 Accepting new patients
Stone Soup Counseling, LLC Clinical CurrentSince Sep 23, 2022 Accepting new patients

Locations

2 Hamill Rd
Ste 332
Baltimore, MD 21210
Phone (443) 266-2270

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, 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": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1760105365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HAMILL RD STE 332",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101813",
            "telephone_number": "443-266-2270",
            "fax_number": "888-835-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HAMILL RD STE 332",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101813",
            "telephone_number": "443-266-2270",
            "fax_number": "888-835-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANN",
        "first_name": "DONALD",
        "middle_name": "S",
        "name_suffix": "Jr.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.