Andrea Marie Mamich, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18703 Issued in MD

Practice address

308 Virginia Ave
Cumberland, MD 21502-4559

Phone

(667) 600-2110

NPI assigned

Dec 13, 2019

Last updated

Jul 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Associated Catholic Charities IncGroup PAC ID 8527101351, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Associated Catholic Charities, Inc.

  dba Catholic Charities of Lansdowne

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1073639159
  Medicare reassignment Care Compare group NPD
• Associated Catholic Charities, Inc

  dba Villa Maria of Frederick County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Frederick, MD
  • NPI 1174788434
  NPD
• Associated Catholic Charities, Inc

  dba Villa Maria of Fallsway

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1972066629
  NPD
• Western Maryland Health Care Corporation

  dba Mountain Laurel Medical Center

  • Federally Qualified Health Center (FQHC)
  • Bruceton Mills, WV
  • NPI 1679269807
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1801434501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 ARMSTRONG ST",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215322404",
            "telephone_number": "301-697-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 VIRGINIA AVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215024559",
            "telephone_number": "667-600-2110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12502 Willowbrook Rd Ste 380",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215026592",
            "country_code": "US",
            "telephone_number": "240-964-8585 x6",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAMICH",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-13",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Main Place Treatment Centers LLC. (Main Place Treatment Centers)
• Sailaja Malla, MD
• Richard D Malloy, MPT
• Kelsey Dawn Malone, M.S., CF-SLP
• Rachael Lynn Malone, OTR/L
• Smriti Manandhar, MD
• Donald Frederick Manger, M.D.
• Anika Mansfield, FNP-C
• Brian K Manspeaker, OD
• Marc Dinola D.D.S.

• Clinical Social Worker in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.

Verify at the official NPI Registry.