Individual provider Active NPI

Michael Lewis Hurney, LCSW-C

  • Clinical Social Worker
  • Beltsville, MD
National Provider Identifier
1932232477
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10535 Issued in MD
Practice address
11501 Sequoia LN
Beltsville, MD 20705-1469
Phone
(301) 595-5135
Fax
(301) 931-1974
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
Yes

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10535 MD Primary
Clinical Social Worker 1041C0700X 0904004627 VA

Addresses

Primary practice location

11501 Sequoia LN
Beltsville, MD 20705-1469

Mailing address

11501 Sequoia LN
Beltsville, MD 20705-1469
Phone (301) 595-5135

Other identifiers 1

IdentifierTypeStateIssuer
G7470001OtherMDCARE FIRST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904004627VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932232477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11501 SEQUOIA LN",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051469",
            "telephone_number": "301-595-5135",
            "fax_number": "301-931-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11501 SEQUOIA LN",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051469",
            "telephone_number": "301-595-5135",
            "fax_number": "301-931-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURNEY",
        "first_name": "MICHAEL",
        "middle_name": "LEWIS",
        "name_prefix": "Mr.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10535",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004627",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST",
            "identifier": "G7470001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.