Individual provider Active NPI

Mary R Huber, LCSW-C

  • Clinical Social Worker
  • Adelphi, MD
National Provider Identifier
1992030589
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016368 Issued in PA
Practice address
8303 Cool Spring LN
Adelphi, MD 20783-2245
Phone
(734) 846-5772
NPI assigned
Oct 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 21493 MD
Clinical Social Worker 1041C0700X CW016368 PA Primary

Addresses

Primary practice location

8303 Cool Spring LN
Adelphi, MD 20783-2245

Mailing address

8303 Cool Spring LN
Adelphi, MD 20783-2245
Phone (734) 846-5772

Other names 1

  • Mary R Capriotti Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2022 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21493MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1992030589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8303 COOL SPRING LN",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207832245",
            "telephone_number": "734-846-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 COOL SPRING LN",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207832245",
            "telephone_number": "734-846-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBER",
        "first_name": "MARY",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21493",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "CAPRIOTTI",
            "middle_name": "R",
            "credential": "MSW, LLMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Adelphi, MD

Sources for this page

Verify at the official NPI Registry.