Carol Diane McNitt, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15806 Issued in MD

Practice address

2635 Riva Rd Ste 108
Annapolis, MD 21401-7430

Phone

(104) 573-9000

Fax

(410) 573-9001

NPI assigned

Aug 24, 2010

Last updated

Sep 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Carol DM Thomas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1912213307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 MOUNTAIN RD",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210321610",
            "telephone_number": "240-472-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 RIVA RD STE 108",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017430",
            "telephone_number": "104-573-9000",
            "fax_number": "410-573-9001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "423 Mountain Rd",
            "address_purpose": "LOCATION",
            "city": "Crownsville",
            "state": "MD",
            "postal_code": "210321610",
            "country_code": "US",
            "telephone_number": "240-472-0617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNITT",
        "first_name": "CAROL",
        "middle_name": "DIANE",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "THOMAS",
            "middle_name": "DM",
            "credential": "LCSW-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Cheryl McNerney Lynn McNerney, R.N.
• Jordan McPhaull, LMSW
• Matthew Gleb McPheron, DPT
• Sydney McWilliams
• MDF LLC (Evolve Direct Primary Care)
• Mdics at Anne Arundel LLC

• Clinical Social Worker in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.