Active NPI
Caron Tresina Starobin, LCSW-C
- Social Worker
- Olney, MD
National Provider Identifier
1942212238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 12565
- Practice address
- 18213 Hillcrest Ave
Olney, MD 20832-1422 - Phone
- (301) 524-4450
- NPI assigned
- Aug 13, 2006
- Reactivated
- Apr 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LC50077939 | DC | |
| Social Worker | 104100000X | 12565 | MD | Primary |
Addresses
Primary practice location
18213 Hillcrest Ave
Olney, MD 20832-1422
Mailing address
17816 Whimsey CT
Olney, MD 20832-2826
Phone (301) 524-4450
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 789608000 | Other | MD | MAGELLAN |
| 254439 | Other | MD | KEISER |
| A2840145 | Other | DC | BCBS |
| 7855750 | Other | MD | AETNA |
| 407182400 | Medicaid | MD | |
| 64472201 | Other | MD | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Mar 18, 2021 through Mar 18, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC50077939 | DC | MD | Social Worker |
| 12565 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starobin Counseling LLC | Current | Accepting new patients | |
| Caron Tresina Starobin | Current | Accepting new patients |
Locations
18213 Hillcrest Ave
Olney, MD 20832
Phone (301) 260-7600
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.
-
- Clinical Social Worker
- Olney, MD
- NPI 1982171765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619049600000",
"number": "1942212238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17816 WHIMSEY CT",
"city": "OLNEY",
"state": "MD",
"postal_code": "208322826",
"telephone_number": "301-524-4450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18213 HILLCREST AVE",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321422",
"telephone_number": "301-524-4450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAROBIN",
"first_name": "CARON",
"middle_name": "TRESINA",
"name_prefix": "Ms.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2021-04-22",
"certification_date": "2021-04-22",
"deactivation_date": "2021-03-26",
"reactivation_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DC",
"license": "LC50077939",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "12565",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "789608000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEISER",
"identifier": "254439",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "A2840145",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7855750",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "407182400",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "64472201",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olney, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.