MARY K VAN DOMMELEN MSW
NPI 1316497316
Social Worker - Clinical in Baltimore, MD

Active since October 13, 2016PECOS Enrolled
1741 ASHLAND AVE, BALTIMORE, MD 21205(443) 923-2800 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary K Van Dommelen Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY K VAN DOMMELEN MSW (NPI 1316497316) is an individual clinical provider in Baltimore, Maryland, licensed in Maryland (26228) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316497316
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY K VAN DOMMELENCredential: MSW
Location Address1741 ASHLAND AVEBaltimore, MD 21205-1531
Mailing Address1741 Ashland AveBaltimore, MD 21205-1531
Sole ProprietorNo
Enumeration DateOctober 13, 2016
Last NPPES UpdateApril 24, 2025
NPPES CertifiedApril 24, 2025
NPI 1316497316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MD · 26228
Definition
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.
1741 ASHLAND AVE, Baltimore, MD 21205

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mary K Van Dommelen Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.73 – $183.44
Typical copayment $0.00 (range $15.18 – $45.86)
Most-billed visit code NA
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (School)
1741 ASHLAND AVE
BALTIMORE, MD 21205
Student in an Organized Health Care Education/Training Program
1741 ASHLAND AVE
BALTIMORE, MD 21205
Psychologist (Clinical)
1741 ASHLAND AVE
BALTIMORE, MD 21205
Social Worker (Clinical)
1741 ASHLAND AVE
BALTIMORE, MD 21205
Social Worker (Clinical)
1741 ASHLAND AVE
BALTIMORE, MD 21205
Speech-Language Pathologist
1741 ASHLAND AVE
BALTIMORE, MD 21205
Psychologist (Clinical Child & Adolescent)
1741 ASHLAND AVE
BALTIMORE, MD 21205
Psychologist (Health)
1741 ASHLAND AVE
BALTIMORE, MD 21205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Van Dommelen's NPI number?

The NPI number for Mary Van Dommelen is 1316497316. It was assigned to this individual provider in the NPPES registry on October 13, 2016.

Where is Mary Van Dommelen located?

Mary Van Dommelen practices at 1741 Ashland Ave, Baltimore, MD 21205. The listed phone number is (443) 923-2800.

What is Mary Van Dommelen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mary Van Dommelen enrolled in Medicare?

Yes. Mary Van Dommelen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Van Dommelen was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.