Healthcare Provider Details
I. General information
NPI: 1962485979
Provider Name (Legal Business Name): PATRICIA JANE MURPHY LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/23/2005
Last Update Date: 09/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
41625 PARK AVE SUITE 300
LEONARDTOWN MD
20650-8252
US
IV. Provider business mailing address
PO BOX 2252
LEONARDTOWN MD
20650-8252
US
V. Phone/Fax
- Phone: 301-997-1494
- Fax: 301-997-1497
- Phone: 301-997-1494
- Fax: 301-997-1497
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 10665 |
| License Number State | MD |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 3105869 |
| Identifier Type | OTHER |
| Identifier State | MD |
| Identifier Issuer | OPT CHOICE/ MAMSI |
| # 2 | |
| Identifier | 314196 |
| Identifier Type | OTHER |
| Identifier State | MD |
| Identifier Issuer | ALLIANCE |
| # 3 | |
| Identifier | 4M3830001 |
| Identifier Type | OTHER |
| Identifier State | MD |
| Identifier Issuer | BLUECHOICE BC/BS |
| # 4 | |
| Identifier | 481301052 |
| Identifier Type | OTHER |
| Identifier State | MD |
| Identifier Issuer | ONE HEALTH PLAN |
| # 5 | |
| Identifier | 012471 |
| Identifier Type | OTHER |
| Identifier State | MD |
| Identifier Issuer | VALUE OPTIONS |
| # 6 | |
| Identifier | 3105869 |
| Identifier Type | OTHER |
| Identifier State | MD |
| Identifier Issuer | MDIPA |
| # 7 | |
| Identifier | 460588-000 |
| Identifier Type | OTHER |
| Identifier State | MD |
| Identifier Issuer | MAGELLAN |
| # 8 | |
| Identifier | 481301052 |
| Identifier Type | OTHER |
| Identifier State | MD |
| Identifier Issuer | FIRST HEALTH |
| # 9 | |
| Identifier | PHCS |
| Identifier Type | OTHER |
| Identifier State | MD |
| Identifier Issuer | PHCS |
| # 10 | |
| Identifier | 133813 |
| Identifier Type | OTHER |
| Identifier State | MD |
| Identifier Issuer | AMERICAN PSYCH SERVICES |
| # 11 | |
| Identifier | 18769 |
| Identifier Type | OTHER |
| Identifier State | MD |
| Identifier Issuer | MANAGED HEALTH NETWORK |
| # 12 | |
| Identifier | 401430800 |
| Identifier Type | MEDICAID |
| Identifier State | MD |
| Identifier Issuer | |
| # 13 | |
| Identifier | 481301052 |
| Identifier Type | OTHER |
| Identifier State | MD |
| Identifier Issuer | UNITED BEHAVIORAL HEALTH |
| # 14 | |
| Identifier | M383 |
| Identifier Type | OTHER |
| Identifier State | MD |
| Identifier Issuer | BC/BS NAT'L CAP AREA |
| # 15 | |
| Identifier | 11811 |
| Identifier Type | OTHER |
| Identifier State | MD |
| Identifier Issuer | JOHNS HOPKINS HEALTHCARE |
| # 16 | |
| Identifier | 512747 |
| Identifier Type | OTHER |
| Identifier State | MD |
| Identifier Issuer | NCPPO |
| # 17 | |
| Identifier | 012471 |
| Identifier Type | OTHER |
| Identifier State | MD |
| Identifier Issuer | TRICARE/ HEALTHNET |
| # 18 | |
| Identifier | QH69 |
| Identifier Type | OTHER |
| Identifier State | MD |
| Identifier Issuer | BC/BS OF MARYLAND |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone:
