Vivian Archibong, LCSW-C in Baltimore, MD - Medicare Social Worker Provider

Vivian Archibong, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in Baltimore, Maryland. Her current practice location is 2225 N Charles St, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 453-9553.

Vivian Archibong is licensed to practice in Maryland (license number 16212) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1235340266.

Contact Information

	Vivian Archibong, LCSW-C
	2225 N Charles St, Baltimore, MD 21218-5778
	(410) 453-9553
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Vivian Archibong
Gender	Female
Speciality	Social Worker - Clinical
Location	2225 N Charles St, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235340266
Provider Enumeration Date: 05/24/2007
Last Update Date: 09/25/2019

Medicare PECOS Information:

PECOS PAC ID: 9931383239
Enrollment ID: I20110412000098

Medical Identifiers

Medical identifiers for Vivian Archibong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235340266	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	16212 (Maryland)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Vivian Archibong allows following entities to bill medicare on her behalf.

Entity Name	Family Health Centers Of Baltimore Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205013539 PECOS PAC ID: 2961310651 Enrollment ID: O20040126000215

Entity Name	Mosaic Community Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134279284 PECOS PAC ID: 0941289417 Enrollment ID: O20040717000385

Entity Name	Citywide Behavioral Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881100857 PECOS PAC ID: 6608131594 Enrollment ID: O20180524000072

Entity Name	Kts Mental Health Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982192977 PECOS PAC ID: 9436547064 Enrollment ID: O20211101000315

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vivian Archibong is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Vivian Archibong, LCSW-C 1925 Greenspring Dr, Timonium, MD 21093-4128 Ph: (410) 453-9553	Vivian Archibong, LCSW-C 2225 N Charles St, Baltimore, MD 21218-5778 Ph: (410) 453-9553

Reviews and Comments

Social Worker in Baltimore, MD

Ms. Angela Faith Noppenberger, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2000 Girard Ave, Baltimore, MD 21211 Phone: 410-929-1596
Tara Rice, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5146 Park Heights Ave, Suite 1, Baltimore, MD 21215 Phone: 410-664-6264
Jennifer Pope, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 E North Ave Ste 5, Baltimore, MD 21202 Phone: 443-310-3042 Fax: 443-652-5904
Kathryn Petrarca, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 416 E 30th St, Baltimore, MD 21218 Phone: 410-889-0727 Fax: 410-889-0729
Michelle Antoinette Goines, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1522 N Ellamont St, Baltimore, MD 21216 Phone: 410-419-9823
Melissa Franco, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6802 Mcclean Blvd, Baltimore, MD 21234 Phone: 410-444-3800
Karen Burd, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4803 Yellowwood Ave, Baltimore, MD 21209 Phone: 443-613-4152

Vivian Archibong, LCSW-C - Medicare Clinical Social Worker in Baltimore, MD