Individual provider Active NPI

Richard L Warren, MSW

  • Clinical Social Worker
  • Pasadena, MD
National Provider Identifier
1881749265
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
08253 Issued in MD
Practice address
8131 Ritchie Hwy Ste G
Pasadena, MD 21122-6940
Phone
(410) 360-1168
Fax
(410) 544-4928
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 08253 MD Primary

Addresses

Primary practice location

8131 Ritchie Hwy Ste G
Pasadena, MD 21122-6940

Mailing address

8131 Ritchie Hwy Ste G
Pasadena, MD 21122-6940
Phone (410) 360-1168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV2 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
I20130727000202 MD Practitioner - Clinical Social Worker 2860633260 Reassigns benefits to 1 organization
I20180814002431 WV Practitioner - Clinical Social Worker 2860633260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inner Awakening Counseling and Consultation, PLLCGroup PAC ID 4688930043, 2 clinicians

Practice addresses (Care Compare)

115 Aikens Ctr
Suite 14
Martinsburg, WV 25404-6210
Phone (304) 820-9365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08253MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Awakening Counseling & Consultation, PLLC Clinical CurrentSince Jun 11, 2018 Accepting new patients
PCC LTD Clinical CurrentSince Jun 1, 2013 Accepting new patients

Locations

8131 Ritchie Hwy
Ste G
Pasadena, MD 21122
Phone (410) 360-4774

115 Aikens Ctr
Ste 14
Martinsburg, WV 25404
Phone (304) 582-3534

Organizations & group practices 2

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881749265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 RITCHIE HWY STE G",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211226940",
            "telephone_number": "410-360-1168",
            "fax_number": "410-544-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8131 RITCHIE HWY STE G",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211226940",
            "telephone_number": "410-360-1168",
            "fax_number": "410-544-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "RICHARD",
        "middle_name": "L",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "08253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

Verify at the official NPI Registry.