Morgan Olympia Baldwin

Individual provider Active NPI Clinical Social Worker · Maynard, MA

NPI 1992380430 · NPPES record last updated Jul 7, 2021

Key facts

NPI
1992380430
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
141 Parker St Ste 306
Maynard, MA 01754-2180
Phone
(866) 991-2103
NPI assigned
Mar 16, 2021
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210604000150 TX Practitioner - Clinical Social Worker 4981003308 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical Current
since Sep 26, 2023
Accepting new patients
Fairsky Foundation Clinical Past
since May 16, 2016
Accepting new patients

Locations

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

141 Parker St Ste 306
Maynard, MA 01754-2180

Mailing address

141 Parker St Ste 306
Maynard, MA 01754-2180
Phone (866) 991-2103

Other providers in Maynard, MA

All providers in Maynard, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.