Individual provider Active NPI

Amy M Smith, LCSW-C

  • Clinical Social Worker
  • Catonsville, MD
National Provider Identifier
1861737405
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18561 Issued in MD
Practice address
516 N Rolling Rd
Ste 305
Catonsville, MD 21228-4142
Phone
(240) 468-9546
NPI assigned
Dec 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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 18561 MD Primary

Addresses

Primary practice location

516 N Rolling Rd
Ste 305
Catonsville, MD 21228-4142

Mailing address

516 N Rolling Rd
Ste 305
Catonsville, MD 21228-4142
Phone (240) 468-9546

Other names 1

  • Amy M Ring Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20130117000051 MD Practitioner - Clinical Social Worker 7214180561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

516 N Rolling Rd
Suite 305
Catonsville, MD 21228-4142
Phone (240) 468-9546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18561MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Sky Therapy & Wellness Clinical CurrentSince Jul 29, 2021 Accepting new patients

Locations

516 N Rolling Rd
Ste 305
Catonsville, MD 21228
Phone (240) 245-6948

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1355011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1861737405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 N ROLLING RD",
            "address_2": "STE 305",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284142",
            "telephone_number": "240-468-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 N ROLLING RD",
            "address_2": "STE 305",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284142",
            "telephone_number": "240-468-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-09",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "RING",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.