Individual provider Active NPI

Veronica Stanley, LCSW-C

  • Social Worker
  • Ellicott City, MD
National Provider Identifier
1962935684
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
14950 Issued in MD
Practice address
3130 Normandy Woods Dr Apt D
Ellicott City, MD 21043-4560
Phone
(443) 518-0817
NPI assigned
Apr 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 14950 MD Primary

Addresses

Primary practice location

3130 Normandy Woods Dr Apt D
Ellicott City, MD 21043-4560

Mailing address

3130 Normandy Woods Dr Apt D
Ellicott City, MD 21043-4560
Phone (443) 518-0817

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14950MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chase Brexton Health Services, Inc. CurrentSince Sep 26, 2022 Accepting new patients
Supportive Care of Maryland LLC CurrentSince Jul 25, 2022 Accepting new patients
Chase Brexton Health Services, Inc. CurrentSince Sep 26, 2022 Accepting new patients

Locations

1111 N Charles St
Baltimore, MD 21201
Phone (410) 486-5991

4409 East West Hwy
Riverdale Park, MD 20737
Phone (301) 699-2000

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 3

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": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1962935684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 NORMANDY WOODS DR APT D",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434560",
            "telephone_number": "443-518-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 NORMANDY WOODS DR APT D",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434560",
            "telephone_number": "443-518-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "VERONICA",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "14950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.