Individual provider Active NPI

Stephanie Katherine Hibbard, LCSWC

  • Social Worker
  • Severna Park, MD
National Provider Identifier
1982794319
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
13249 Issued in MD
Practice address
507 West Drive
Severna Park, MD 21146
Phone
(410) 647-8210
Fax
(410) 647-8267
NPI assigned
Oct 14, 2006
Last updated
Jun 9, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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 13249 MD Primary

Addresses

Primary practice location

507 West Drive
Severna Park, MD 21146

Mailing address

1331 Kinloch Circle
Arnold, MD 21012
Phone (410) 647-8210

Other identifiers 1

IdentifierTypeStateIssuer
015178500MedicaidMD

Other names 1

  • Miss Stephanie Katherine McBee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20090401000439 MD Practitioner - Clinical Social Worker 5092872382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

692B Ritchie Hwy
Severna Park, MD 21146-3938
Phone (410) 793-7177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spark Wellness CurrentSince Aug 2, 2023 Accepting new patients
David R Leaverton MD PA Past Accepting new patients

Locations

692B Ritchie Hwy
Ste 101
Severna Park, MD 21146
Phone (410) 245-2199

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": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1982794319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 KINLOCH CIRCLE",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "21012",
            "telephone_number": "410-647-8210",
            "fax_number": "410-647-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 WEST DRIVE",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "21146",
            "telephone_number": "410-647-8210",
            "fax_number": "410-647-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBBARD",
        "first_name": "STEPHANIE",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "LCSWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-14",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "13249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015178500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MCBEE",
            "middle_name": "KATHERINE",
            "prefix": "MISS",
            "credential": "LCSWC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Severna Park, MD

Sources for this page

Verify at the official NPI Registry.