Individual provider Active NPI

Mary Baetz McAllen, LCSW-C

  • Clinical Social Worker
  • Towson, MD
National Provider Identifier
1902382138
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09879 Issued in MD
Practice address
120 Sister Pierre Dr Ste 403
Towson, MD 21204
Phone
(410) 823-6408
Fax
(443) 279-0537
NPI assigned
Jul 11, 2018
Last updated
Sep 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 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 09879 MD Primary

Addresses

Primary practice location

120 Sister Pierre Dr Ste 403
Towson, MD 21204

Mailing address

120 Sister Pierre Dr Ste 403
Towson, MD 21204-7536
Phone (401) 823-6408

Other practice location 1

101 W Ridgely Rd Ste 8A
Lutherville, MD 21093-5124
Phone (410) 377-5567

Other practice location 2

101 W Ridgely Rd Ste 8A
Lutherville, MD 21093-5124
Phone (410) 377-5567

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
I20190828002918 MD Practitioner - Clinical Social Worker 4587992516 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
True Life ChangeGroup PAC ID 1759774128, 4 clinicians

Practice addresses (Care Compare)

5100 Buckeystown Pike
Suite 250
Frederick, MD 21704-8344
Phone (410) 417-7556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09879MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
True Life Change CurrentSince Feb 24, 2023 Accepting new patients
Psych Associates of Maryland LLC CurrentSince Aug 15, 2019 Accepting new patients

Locations

5100 Buckeystown Pike
Ste 250
Frederick, MD 21704
Phone (301) 321-8245

2331 York Rd
Ste 100
Timonium, MD 21093

120 Sister Pierre Dr
Ste 403
Towson, MD 21204
Phone 4108236408104

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": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1902382138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SISTER PIERRE DR STE 403",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047536",
            "telephone_number": "401-823-6408",
            "fax_number": "443-279-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SISTER PIERRE DR STE 403",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21204",
            "telephone_number": "410-823-6408",
            "fax_number": "443-279-0537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W Ridgely Rd Ste 8A",
            "address_purpose": "LOCATION",
            "city": "Lutherville",
            "state": "MD",
            "postal_code": "210935124",
            "country_code": "US",
            "telephone_number": "410-377-5567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W Ridgely Rd Ste 8A",
            "address_purpose": "LOCATION",
            "city": "Lutherville",
            "state": "MD",
            "postal_code": "210935124",
            "country_code": "US",
            "telephone_number": "410-377-5567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCALLEN",
        "first_name": "MARY",
        "middle_name": "BAETZ",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.