Individual provider Active NPI

Carla Trump, LCSW-C

  • Clinical Social Worker
  • Westminster, MD
National Provider Identifier
1841317898
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13855 Issued in MD
Practice address
620 Jasontown Rd
Westminster, MD 21158-3530
Phone
(443) 789-0389
Fax
(410) 857-8393
NPI assigned
Mar 23, 2007
Last updated
Nov 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 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 13855 MD Primary

Addresses

Primary practice location

620 Jasontown Rd
Westminster, MD 21158-3530

Mailing address

620 Jasontown Rd
Westminster, MD 21158-3530
Phone (443) 789-0389

Other practice location 1

59 Kate Wagner Rd.
Westminster, MD 21157
Phone (410) 848-2500 ext. 8683

Other identifiers 1

IdentifierTypeStateIssuer
615501400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: No
  • 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
I20180625002650 MD Practitioner - Clinical Social Worker 3072868553 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13855MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll County Youth Service Bureau, Inc. CurrentSince Jun 13, 2018 Accepting new patients

Locations

59 Kate Wagner Rd
Westminster, MD 21157
Phone (410) 596-1755

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, 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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1841317898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 JASONTOWN RD",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211583530",
            "telephone_number": "443-789-0389",
            "fax_number": "410-857-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 JASONTOWN RD",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211583530",
            "telephone_number": "443-789-0389",
            "fax_number": "410-857-8393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 Kate Wagner Rd.",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "MD",
            "postal_code": "21157",
            "country_code": "US",
            "telephone_number": "410-848-2500 x8683",
            "fax_number": "410-876-3016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUMP",
        "first_name": "CARLA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "615501400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.