Individual provider Active NPI

Sara A Haina, LCSW-C, LCADC

  • Social Worker
  • White Plains, MD
National Provider Identifier
1003230442
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
07359 Issued in MD
Practice address
4545 Crain Hwy
White Plains, MD 20695-3045
Phone
(301) 609-6616
Fax
(301) 934-1234
NPI assigned
Feb 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 07359 MD Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCA304 MD

Addresses

Primary practice location

4545 Crain Hwy
White Plains, MD 20695-3045

Mailing address

4545 Crain Hwy
White Plains, MD 20695-3045
Phone (301) 609-6616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190701001619 MD Practitioner - Clinical Social Worker 8921332537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Calvert County Health DepartmentGroup PAC ID 7214188366, 19 clinicians

Practice addresses (Care Compare)

975 Solomons Island Rd N
Suite 119
Prince Frederick, MD 20678-0980
Phone 4105355400329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCA304MDMDAddiction (Substance Use Disorder) Counselor
07359MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Calvert County Health Department Current Accepting new patients
Calvert County Health Department CurrentSince May 11, 2019 Accepting new patients
Calvert County Health Department CurrentSince May 11, 2019 Accepting new patients

Locations

280 Stafford Rd
Prince Frederick, MD 20678
Phone (410) 535-3079

975 Solomons Island Rd N
Ste 119
Prnc Frederck, MD 20678
Phone (410) 535-5400

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1003230442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 CRAIN HWY",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953045",
            "telephone_number": "301-609-6616",
            "fax_number": "301-934-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 CRAIN HWY",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953045",
            "telephone_number": "301-609-6616",
            "fax_number": "301-934-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINA",
        "first_name": "SARA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-05",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "07359",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA304",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, MD

Sources for this page

Verify at the official NPI Registry.