Individual provider Active NPI

Christine Woodcock

  • Clinical Social Worker
  • Westminster, MD
National Provider Identifier
1790437150
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27318 Issued in MD
Practice address
303 Sunshine Way
Westminster, MD 21157-4656
Phone
(667) 240-7571
NPI assigned
Jan 26, 2022
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 27318 MD
Clinical Social Worker 1041C0700X 27318 MD Primary

Addresses

Primary practice location

303 Sunshine Way
Westminster, MD 21157-4656

Mailing address

303 Sunshine Way
Westminster, MD 21157-4656
Phone (667) 240-7571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240409000730 MD Practitioner - Clinical Social Worker 6608214739 Reassigns benefits to 1 organization
I20240409001164 DC Practitioner - Clinical Social Worker 6608214739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1003 W 7TH St
Suite 200
Frederick, MD 21701-4106
Phone (301) 245-6300

7474 Greenway Ctr Dr
Suite 700a
Greenbelt, MD 20770-3523
Phone (301) 982-3437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27318MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Behavioral Health Services PC CurrentSince Mar 1, 2024 Accepting new patients
Mending Minds Wellness Center Clinical Past Accepting new patients

Locations

1003 W 7th St
Ste 200
Frederick, MD 21701
Phone (240) 651-6824

7474 Greenway Center Dr
Ste 700A
Greenbelt, MD 20770
Phone (301) 982-3437

101 E Chesapeake Ave
Ste 401
Towson, MD 21286
Phone (301) 982-3437

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": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1790437150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 SUNSHINE WAY",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211574656",
            "telephone_number": "667-240-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 SUNSHINE WAY",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211574656",
            "telephone_number": "667-240-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODCOCK",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "27318",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "27318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.