Individual provider Active NPI

Andrew Vernon, LCSW-C

  • Clinical Social Worker
  • Severna Park, MD
National Provider Identifier
1760167829
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
30239 Issued in MD
Practice address
601 Baltimore Annapolis Blvd Ste 206
Severna Park, MD 21146-3914
Phone
(410) 553-4450
NPI assigned
Jun 16, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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 30239 MD Primary

Addresses

Primary practice location

601 Baltimore Annapolis Blvd Ste 206
Severna Park, MD 21146-3914

Mailing address

601 Baltimore Annapolis Blvd Ste 206
Severna Park, MD 21146-3914
Phone (410) 553-4450

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
I20260415002059 MD Practitioner - Clinical Social Worker 6901372242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

226 Hill Ave
Montgomery, NY 12549-2088

384 Bailey Rd
Montgomery, NY 12549-2112

601 Baltimore Annapolis Blvd
Suite 206
Severna Park, MD 21146-2933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30239MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Counseling & Consultation, LLC Clinical CurrentSince Mar 25, 2026 Accepting new patients

Locations

601 Baltimore Annapolis Blvd
Ste 206
Severna Park, MD 21146
Phone (410) 553-4450

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": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1760167829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BALTIMORE ANNAPOLIS BLVD STE 206",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463914",
            "telephone_number": "410-553-4450",
            "fax_number": "410-553-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BALTIMORE ANNAPOLIS BLVD STE 206",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463914",
            "telephone_number": "410-553-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNON",
        "first_name": "ANDREW",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-16",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "30239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

Verify at the official NPI Registry.