Active NPI
Winston M. Clarke, LICSW
- School Social Worker
- Columbia, MD
National Provider Identifier
1902233018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- Practice address
- 5680 Stevens Forest Rd
Apt. 56
Columbia, MD 21045-3371 - Phone
- (301) 814-2816
- NPI assigned
- Oct 3, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | DC | Primary |
Addresses
Primary practice location
5680 Stevens Forest Rd
Apt. 56
Columbia, MD 21045-3371
Mailing address
5680 Stevens Forest Rd
Apt. 56
Columbia, MD 21045-3371
Phone (301) 814-2816
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1302 Cronson Blvd
Suite a
Crofton, MD 21114-2064
Phone (508) 979-5557
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1902233018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5680 STEVENS FOREST RD",
"address_2": "APT. 56",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210453371",
"telephone_number": "301-814-2816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5680 STEVENS FOREST RD",
"address_2": "APT. 56",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210453371",
"telephone_number": "301-814-2816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "WINSTON",
"middle_name": "M.",
"name_prefix": "Mr.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-03",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "DC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.