MR. MICHAEL PATRICK WALL (NPI# 1063552586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063552586 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL PATRICK WALL |
| Credential | LCSWC |
| Practice Address |
692 Ritchie Hwy Suite 203 Severna Park MD 21146-3919 |
| Mailing Address |
64 Dungarrie Rd Balto MD 21228-3401 |
| Practice Telephone | 4106474862 |
| Mailing Telephone | 4103822859 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSWC07449 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BCBS MD | 1QV10MP2752664001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932427101 | Michael D Wall | Physical Therapist | 2720 8th Street Sw, Altoona, IA 50009 | 2010-05-12 |
| 1669799805 | Michael Wayne Wall | Counselor | 784 W Lebanon St, Mount Airy, NC 27030-2218 | 2010-04-28 |
| 1932346897 | Michael Vincent Wall | Dentist | 3552 W Glendale Ave, Ste. B, Phoenix, AZ 85051-8358 | 2009-01-14 |
| 1053520593 | Michael Lee Wall II | Chiropractor | 13412 Pacific Ave S, Tacoma, WA 98444-4866 | 2007-05-22 |
| 1194940924 | Michael James Wall | Dentist | 45 1048 Kam Hwy, Suite B, Kaneohe, HI 96744 | 2007-04-16 |
| 1396842589 | Michael Shane Wall | Dentist | 506 Gentilly Road, Statesboro, GA 30458 | 2006-09-20 |
| 1780616847 | Michael S Wall | Orthopaedic Surgery | 500 Arguello St, Ste 100, Redwood City, CA 94063 | 2006-07-07 |
| 1235600529 | Michael Wall | Community Health Worker | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2018-12-11 |
| 1407244007 | Michael Andrew Wall | Physician Assistant | 1515 Sunset Ave, Clinton, NC 28328-3827 | 2015-01-05 |
| 1356657472 | Michael Wall | Massage Therapist | 18920 Bothell Way Ne, #204, Bothell, WA 98011-1981 | 2010-08-26 |
| Street Address |
692 RITCHIE HWY SUITE 203 |
| City | SEVERNA PARK |
| State | MD |
| Zip Code | 21146-3919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811538713 | Erin Maria Betz | Social Worker | 517 Benfield Blvd, Suite 102, Severna Park, MD 21146 | 2019-10-01 |
| 1912566753 | Thomas Brown Jr. | Optometrist | 139 Ritchie Highway, Suite B, Severna Park, MD 21146 | 2019-06-06 |
| 1063985901 | Nancy Mcdowell Lincoln-reynolds | Marriage & Family Therapist | Woods Counseling Center, 8 Cypress Creek Road, Severna Park, MD 21146 | 2019-01-03 |
| 1750865556 | Laura Hoelzer | Physical Therapist | 820 Ritchie Highway, Severna Park, MD 21146 | 2018-09-18 |
| 1316431653 | Severna Park Family Chiropractic, PC | Chiropractor | 846 Ritchie Hwy Ste 1b, Severna Park, MD 21146 | 2018-06-20 |
| 1164925202 | Mnr Industries, LLC | Clinic/Center | 153 Ritchie Hwy, Severna Park, MD 21146 | 2018-03-15 |
| 1649798281 | Lydia Ferguson | Behavior Technician | 645 Baltimore Annapolis Blvd Suite 216-217, Severna Park, MD 21146 | 2017-09-05 |
| 1477082873 | Laura Mennecke | Counselor | 479 Jumpers Hole Road, Suite 304b, Severna Park, MD 21146 | 2017-06-08 |
| 1689112682 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 143 Ritchie Highway N, Severna Park, MD 21146 | 2017-02-09 |
| 1396195384 | Amy Vance | Nurse Practitioner | 300 Mason Lord Drive, Baltimore, MD 21146 | 2016-06-21 |
| Find all providers in zip 21146 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286791 | Rhiannon Gruppuso | Social Worker | 218 Kennedy Dr, Severna Park, MD 21146-3011 | 2020-08-19 |
| 1053936518 | Healthwaves Counseling, LLC | Social Worker | 815 Ritchie Hwy Ste 216, Severna Park, MD 21146-4165 | 2020-06-10 |
| 1730723701 | Park Wellness Group LLC | Social Worker | 517 Benfield Rd Ste 100, Severna Park, MD 21146-2527 | 2019-11-03 |
| 1811538713 | Erin Maria Betz | Social Worker | 517 Benfield Blvd, Suite 102, Severna Park, MD 21146 | 2019-10-01 |
| 1386285286 | Ashley Grace Doot | Social Worker | 517 Benfield Rd Ste 102, Severna Park, MD 21146-2529 | 2019-10-01 |
| 1114424397 | Compassion Counseling, Inc. | Social Worker | 539 Benfield Rd, Severna Park, MD 21146-2511 | 2018-04-12 |
| 1316376288 | Deborah S Watson | Social Worker | 410 Ben Oaks Dr W, Severna Park, MD 21146 | 2013-11-01 |
| 1336456789 | Mary E. Caldwell | Social Worker | 752 Trenton Ave, Severna Park, MD 21146-3908 | 2010-09-07 |
| 1851603070 | Lauri Palmer Miller | Social Worker | 487 Ixworth Ct, Severna Park, MD 21146-1713 | 2010-07-02 |
| 1497998470 | Joy Teitelbaum | Social Worker | 513 Old Pasture Lane, Severna Park, MD 21146 | 2009-04-07 |
| Find all providers in SEVERNA PARK | ||||
| City | SEVERNA PARK |
| Zip Code | 21146 |
Please comment or provide details below to improve the information on MR. MICHAEL PATRICK WALL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.