Individual provider Active NPI

Ted Cmarada, LCSW-C

  • Clinical Social Worker
  • Frederick, MD
National Provider Identifier
1841349479
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
04816 Issued in MD
Practice address
340 Park Ave
Frederick, MD 21701-4931
Phone
(301) 663-1683
Fax
(301) 663-3792
NPI assigned
Jan 10, 2007
Last updated
May 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 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 04816 MD Primary

Addresses

Primary practice location

340 Park Ave
Frederick, MD 21701-4931

Mailing address

340 Park Ave
Frederick, MD 21701-4931
Phone (301) 663-1683

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190716002093 PA Practitioner - Clinical Social Worker 8224105135 Practice locations: Pittsburgh, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

357 S Graham St
Pittsburgh, PA 15232-1007
Phone (240) 446-4937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04816MDMDClinical Social Worker
4816MDMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1841349479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 PARK AVE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014931",
            "telephone_number": "301-663-1683",
            "fax_number": "301-663-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 PARK AVE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014931",
            "telephone_number": "301-663-1683",
            "fax_number": "301-663-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CMARADA",
        "first_name": "TED",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "04816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.