Monocacy Therapy LLC
Organization Active NPI Clinical Social Worker · Barnesville, MD
NPI 1942936240 · NPPES record last updated Nov 2, 2022
Key facts
- NPI
- 1942936240
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- MONOCACY THERAPY LLC
- Practice address
- 22611 Old Hundred Rd
Barnesville, MD 20838-9734 - Phone
- (401) 525-8858
- NPI assigned
- Jul 28, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Andrea Clare Mazzarino, LCSW-C, PHD
- Title
- Clinical Social Worker
- Phone
- (401) 525-8858
Practitioners 1
-
Andrea Clare Mazzarino, MSW, LCSW-C, PHD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230104000525 | DC | Part B Supplier - Clinic/Group Practice | 8527438787 |
Receives reassigned benefits from 1 practitioner Practice locations: Barnesville, MD |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
22611 Old Hundred Rd
Barnesville, MD 20838-9734
Mailing address
22611 Old Hundred Rd
Barnesville, MD 20838-9734
Phone (401) 525-8858
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | TherapyNotes.com | ||
| CONNECT URL | TherapyNotes |
Other providers in Barnesville, MD
All providers in Barnesville, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.