Mary Y Ayers, PHD,LCSW-C,LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

06880 Issued in MD

Legal business name

MARY Y AYERS, PHD,LCSW-C,LLC

Practice address

90 Holiday Dr
Suite D-2
Solomons, MD 20688

Phone

(301) 495-9001

NPI assigned

Feb 23, 2015

Last updated

Feb 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mary Y Ayers, PH.D., LCSW-CNPI 1073783742

Title

Principal

Phone

(301) 495-9001

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Yvonne Ayers, PH.D., LCSW-C

  • Clinical Social Worker
  • Great Mills, MD
  • NPI 1073783742
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1841682275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 BEECH DR",
            "city": "LUSBY",
            "state": "MD",
            "postal_code": "206573217",
            "telephone_number": "301-495-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 HOLIDAY DR",
            "address_2": "SUITE D-2",
            "city": "SOLOMONS",
            "state": "MD",
            "postal_code": "20688",
            "telephone_number": "301-495-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY Y AYERS, PHD,LCSW-C,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "301-495-9001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "06880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifeoptimized Inc.
• Michael Steven Lominac, PT, DPT, CCI
• Lotus Counseling LLC
• Luminis Health Medical Group, LLC
• M Medical Group, Inc (M. Medical Group Solomon's Nursing Rehab)
• Maryland CVS Pharmacy LLC (CVS Pharmacy #02118)
• Mdics Rehabilitative Services - Ltcaco LLC
• Mdics Rehabilitative Services LLC
• Mindy Krupp LCSW-C Therapist LLC
• Mindy Krupp, LCSW-C, Therapist, LLC

• Clinical Social Worker in Solomons, MD
• Providers in Solomons, 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 Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.