Individual provider Active NPI

Tina Marie McCarthy, LCSW-C

  • Clinical Social Worker
  • Aberdeen, MD
National Provider Identifier
1932270212
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11544 Issued in MD
Practice address
109 W Bel Air Ave
Aberdeen, MD 21001-3221
Phone
(410) 297-2271
Fax
(410) 297-2273
NPI assigned
Nov 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11544 MD Primary

Addresses

Primary practice location

109 W Bel Air Ave
Aberdeen, MD 21001-3221

Mailing address

1308 Hidden Brook CT
Abingdon, MD 21009-2720
Phone (410) 569-6970

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
I20051021000548 MD Practitioner - Clinical Social Worker 1456377167 Practice locations: Joppa, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Maryland School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1308 Hidden Brook Court
Abingdon, MD 21009-2720

1308 Hidden Brook CT
Abingdon, MD 21009-2720

626 Towne Ctr Dr
Joppa, MD 21085-4446
Phone (410) 679-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11544MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932270212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 HIDDEN BROOK CT",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092720",
            "telephone_number": "410-569-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W BEL AIR AVE",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210013221",
            "telephone_number": "410-297-2271",
            "fax_number": "410-297-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MD

Sources for this page

Verify at the official NPI Registry.