Individual provider Active NPI

Debra Bostocky Zatkin, LCSW-C

  • Clinical Social Worker
  • Arnold, MD
National Provider Identifier
1871785089
Registry record updated Aug 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
04899 Issued in MD
Practice address
1507 Ritchie Hwy
Suite 102
Arnold, MD 21012-2743
Phone
(410) 757-8137
Fax
(410) 757-3916
NPI assigned
Aug 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2007

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 04899 MD Primary

Addresses

Primary practice location

1507 Ritchie Hwy
Suite 102
Arnold, MD 21012-2743

Mailing address

1507 Ritchie Hwy
Suite 102
Arnold, MD 21012-2743
Phone (410) 757-8137

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
I20040605000268 MD Practitioner - Clinical Social Worker 7618959305 Practice locations: Severna Park, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

803 Natures Run
Severna Park, MD 21146-4237
Phone (410) 757-8137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Services LLC Past Accepting new patients

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": "1186790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186790400000",
    "number": "1871785089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 RITCHIE HWY",
            "address_2": "SUITE 102",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122743",
            "telephone_number": "410-757-8137",
            "fax_number": "410-757-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 RITCHIE HWY",
            "address_2": "SUITE 102",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122743",
            "telephone_number": "410-757-8137",
            "fax_number": "410-757-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZATKIN",
        "first_name": "DEBRA",
        "middle_name": "BOSTOCKY",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-11",
        "last_updated": "2007-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "04899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MD

Sources for this page

Verify at the official NPI Registry.