Individual provider Active NPI

Caron Tresina Starobin, LCSW-C

  • Social Worker
  • Olney, MD
National Provider Identifier
1942212238
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
12565 Issued in MD
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

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
789608000OtherMDMAGELLAN
254439OtherMDKEISER
A2840145OtherDCBCBS
7855750OtherMDAETNA
407182400MedicaidMD
64472201OtherMDBCBS

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
LC50077939DCMDSocial Worker
12565MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Starobin Counseling LLC CurrentSince Apr 25, 2021 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.

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

Verify at the official NPI Registry.