Individual provider Active NPI

Douglas Marshall Chay, MSW LCSW C

  • Clinical Social Worker
  • Glen Burnie, MD
National Provider Identifier
1831151844
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09267 Issued in MD
Practice address
1406B Crain Hwy S
Suite 301
Glen Burnie, MD 21061-4099
Phone
(410) 760-5588
Fax
(410) 760-9727
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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 09267 MD Primary

Addresses

Primary practice location

1406B Crain Hwy S
Suite 301
Glen Burnie, MD 21061-4099

Mailing address

1406 B Crain Hwy S
Suite 301
Glen Burnie, MD 21061
Phone (410) 760-5588

Other identifiers 12

IdentifierTypeStateIssuer
0008OtherBLUE SHIELD FEDERAL
10761882OtherCAQH
245079OtherMHN AND TRICARE
264800000OtherMAGELLAN BEHAVIORAL HEALT
287864OtherMAMSI UNITED HEALTH CARE
S003OtherBLUE SHIELD FEDERAL GROUP
162110OtherVALUE OPTIONS AND GREAT W
513264OtherNCPPO INNOVA MHIP
522229157OtherPHCS
7626281OtherAETNA BEHAVIORAL HEALTH
100033664OtherAPS
61002201OtherBLUE SHIELD OF MD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
09267MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis the Mental Health Center, LLC CurrentSince Jan 29, 2023 Accepting new patients
Arundel Psychotherapy Associates Clinical Past Accepting new patients

Locations

30 Greenway St NW
Ste 5
Glen Burnie, MD 21061
Phone 41076090790

Organizations & group practices 2

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1831151844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 B CRAIN HWY S",
            "address_2": "SUITE 301",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "410-760-5588",
            "fax_number": "410-760-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406B CRAIN HWY S",
            "address_2": "SUITE 301",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614099",
            "telephone_number": "410-760-5588",
            "fax_number": "410-760-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAY",
        "first_name": "DOUGLAS",
        "middle_name": "MARSHALL",
        "credential": "MSW LCSW C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD FEDERAL",
            "identifier": "0008",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10761882",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN AND TRICARE",
            "identifier": "245079",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALT",
            "identifier": "264800000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI UNITED HEALTH CARE",
            "identifier": "287864",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD FEDERAL GROUP",
            "identifier": "S003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS AND GREAT W",
            "identifier": "162110",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO INNOVA MHIP",
            "identifier": "513264",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "522229157",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BEHAVIORAL HEALTH",
            "identifier": "7626281",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS",
            "identifier": "100033664",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MD",
            "identifier": "61002201",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.