Active NPI
Annemarie Vallonga, LCSW-C
- Clinical Social Worker
- Baltimore, MD
National Provider Identifier
1922445949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 949 Gorsuch Ave
Baltimore, MD 21218-3602 - Phone
- (410) 467-4121
- Fax
- (410) 467-6709
- NPI assigned
- May 31, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
949 Gorsuch Ave
Baltimore, MD 21218-3602
Mailing address
949 Gorsuch Ave
Baltimore, MD 21218-3602
Phone (410) 467-4121
Other names 1
- Annemarie Eaton
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130722000017 | MD | Practitioner - Clinical Social Worker | 7012158850 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13213 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspirit Counseling Services, Inc. | Clinical | Current | Accepting new patients |
Locations
5407 N Charles St
Baltimore, MD 21210
Phone (410) 433-2241
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": "1369958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637539200000",
"number": "1922445949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "949 GORSUCH AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212183602",
"telephone_number": "410-467-4121",
"fax_number": "410-467-6709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "949 GORSUCH AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212183602",
"telephone_number": "410-467-4121",
"fax_number": "410-467-6709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLONGA",
"first_name": "ANNEMARIE",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-31",
"last_updated": "2021-11-22",
"certification_date": "2021-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNEMARIE",
"last_name": "EATON",
"credential": "LCSW-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.