Individual provider Active NPI

Elizabeth Ann Cullar, LCSW-C

  • Clinical Social Worker
  • Laurel, MD
National Provider Identifier
1962008904
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
14065 Vista Dr Apt 144C
Laurel, MD 20707-6831
Phone
(301) 442-4671
NPI assigned
Dec 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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 Primary

Addresses

Primary practice location

14065 Vista Dr Apt 144C
Laurel, MD 20707-6831

Mailing address

14065 Vista Dr Apt 144C
Laurel, MD 20707-6831
Phone (301) 442-4671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20220128001838 DC Practitioner - Clinical Social Worker 7315337185 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Health and Behavioral Services LLC CurrentSince Nov 24, 2025 Accepting new patients

Locations

1401 Mercantile Ln
Ste 531
Upper Marlboro, MD 20774
Phone (410) 304-6656

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1962008904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14065 VISTA DR APT 144C",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207076831",
            "telephone_number": "301-442-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14065 VISTA DR APT 144C",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207076831",
            "telephone_number": "301-442-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLAR",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.