Individual provider Active NPI

Ronda Rosie Behr, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1851477756
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
M13298 Issued in MD
Practice address
414 Lyman Ave
Baltimore, MD 21212-3511
Phone
(410) 292-5651
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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 M13298 MD Primary

Addresses

Primary practice location

414 Lyman Ave
Baltimore, MD 21212-3511

Mailing address

310 Gittings Ave
Apt B
Baltimore, MD 21212-2551
Phone (410) 292-5651

Other identifiers 1

IdentifierTypeStateIssuer
13298OtherMDSTATE LICENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070605000655 MD Practitioner - Clinical Social Worker 7719085323 Practice locations: Baltimore, MD
I20220327000006 NC Practitioner - Clinical Social Worker 7719085323 Practice locations: Ocean Isle Beach, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

414 Lyman Ave
Baltimore, MD 21212-3511
Phone (410) 292-5651

7132 Beach Dr SW
Suite D
Ocean Isle Beach, NC 28469-5798
Phone (410) 292-5651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M13298MDMDClinical Social Worker
13298MDMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1851477756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 GITTINGS AVE",
            "address_2": "APT B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122551",
            "telephone_number": "410-292-5651",
            "fax_number": "410-532-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 LYMAN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123511",
            "telephone_number": "410-292-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHR",
        "first_name": "RONDA",
        "middle_name": "ROSIE",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "M13298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "13298",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.