Active NPI
Andrew Vernon, LCSW-C
- Clinical Social Worker
- Severna Park, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 30239
- 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
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 | 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30239 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Counseling & Consultation, LLC | Clinical | Current | 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.
-
- Clinical Social Worker
- Severna Park, MD
- NPI 1588207955
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.