Individual provider Active NPI

Valerie Tina Marks, LCSW-C

  • Clinical Social Worker
  • Lutherville, MD
National Provider Identifier
1811148042
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10015 Issued in MD
Practice address
121 E Ridgely Rd
Lutherville, MD 21093-5222
Phone
(443) 809-7650
NPI assigned
Oct 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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 10015 MD Primary

Addresses

Primary practice location

121 E Ridgely Rd
Lutherville, MD 21093-5222

Mailing address

2104 Eastridge Rd
Lutherville, MD 21093-3432
Phone (443) 608-0786

Other practice location 1

2401 Liberty Heights Ave Ste 4670
Baltimore, MD 21215-8032
Phone (410) 233-1088

Other names 1

  • Valerie Tina Cox Former name

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
I20220630002188 MD Practitioner - Clinical Social Worker 5991852253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2104 Eastridge Rd
Lutherville, MD 21093-3432
Phone (443) 608-0786

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10015MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Change Health Systems, Inc CurrentSince Jun 1, 2022 Accepting new patients
Change Health Systems, Inc Current Accepting new patients
Change Health Systems, Inc CurrentSince Jun 1, 2022 Accepting new patients
Village Elite Wellness, LLC CurrentSince Oct 15, 2024 Accepting new patients

Locations

2401 Liberty Heights Ave
Ste 4670
Baltimore, MD 21215
Phone (410) 233-1088

44 N Potomac St
Ste 101
Hagerstown, MD 21740
Phone (240) 347-1403

Organizations & group practices 4

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": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1811148042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 EASTRIDGE RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210933432",
            "telephone_number": "443-608-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E RIDGELY RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935222",
            "telephone_number": "443-809-7650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 Liberty Heights Ave Ste 4670",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212158032",
            "country_code": "US",
            "telephone_number": "410-233-1088",
            "fax_number": "410-233-1087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKS",
        "first_name": "VALERIE",
        "middle_name": "TINA",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "COX",
            "middle_name": "TINA",
            "credential": "LCSW-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.