Active NPI
Mark A Bernard, LCSW-C, CAC-AD
- Clinical Social Worker
- Baltimore, MD
National Provider Identifier
1992225411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 24759
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC2391 | MD | MD | Counselor |
| 24759 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Promise Counseling and Education | Current | Accepting new patients | |
| Achieving Wellness | Current | Accepting new patients | |
| One Promise Counseling and Education | Current | 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.
-
- Adult Mental Health Clinic/Center
- Baltimore, MD
- NPI 1295371078
-
- Adult Mental Health Clinic/Center
- Edgewood, MD
- NPI 1639008766
-
- Community/Behavioral Health Agency
- Baltimore, MD
- NPI 1306309240
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1780568659
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.