Mary M Woznysmith, LCSW-C
Individual provider Active NPI Clinical Social Worker · Lothian, MD
NPI 1972894483 · NPPES record last updated May 2, 2011
Key facts
- NPI
- 1972894483
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 11090 (MD)
- Practice address
- 230 Biggs Purchase
Lothian, MD 20711 - Phone
- (443) 203-5177
- Fax
- (410) 257-2219
- NPI assigned
- May 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
230 Biggs Purchase LN
Lothian, MD 20711-2300
Phone (410) 956-0299
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150916002349 | MD | Practitioner - Clinical Social Worker | 7214244755 | Practice locations: Lothian, MD |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11090 | MD | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11090 | MD | Yes |
Addresses
Primary practice location
230 Biggs Purchase
Lothian, MD 20711
Mailing address
230 Biggs Purchase
Lothian, MD 20711
Other providers in Lothian, MD
- Maria Joy Prout
- Sophworks Recovery Group, LLC
- Nicole Virginia Tennison
- Emma Woznysmith
- Eric Dasie Woznysmith
All providers in Lothian, 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 May 2, 2011. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.