Individual provider Active NPI

Mark A Bernard, LCSW-C, CAC-AD

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1992225411
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24759 Issued in MD
Practice address
3100 Lord Baltimore Dr
Baltimore, MD 21244-2879
Phone
(410) 467-5291
Fax
(443) 708-8106
NPI assigned
Jun 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X AC2391 MD
Clinical Social Worker 1041C0700X 24759 MD Primary

Addresses

Primary practice location

3100 Lord Baltimore Dr
Baltimore, MD 21244-2879

Mailing address

2513 Thornberry Dr
Edgewood, MD 21040-2829
Phone (443) 570-4837

Other practice location 1

2513 Thornberry Dr
Edgewood, MD 21040-2829
Phone (443) 570-4837

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
I20240715001327 MD Practitioner - Clinical Social Worker 6103361183 Reassigns benefits to 1 organization
Practice locations: Edgewood, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2513 Thornberry Dr
Edgewood, MD 21040-2829
Phone (443) 570-4837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AC2391MDMDCounselor
24759MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
One Promise Counseling and Education CurrentSince May 25, 2025 Accepting new patients
Achieving Wellness Current Accepting new patients
One Promise Counseling and Education CurrentSince May 25, 2025 Accepting new patients
Humanity Against Limited Opportunities Inc Current Accepting new patients

Organizations & group practices 4

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": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1992225411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 THORNBERRY DR",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210402829",
            "telephone_number": "443-570-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 LORD BALTIMORE DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442879",
            "telephone_number": "410-467-5291",
            "fax_number": "443-708-8106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2513 Thornberry Dr",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "MD",
            "postal_code": "210402829",
            "country_code": "US",
            "telephone_number": "443-570-4837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "LCSW-C, CAC-AD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-26",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "AC2391",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "24759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.