Individual provider Active NPI

Sofia Rosenblum, LCSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1043643497
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50080060 Issued in DC
Practice address
100 Gallatin St NE
Washington, DC 20011-7533
Phone
(202) 483-8196
NPI assigned
Aug 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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 LG50079715 DC
Clinical Social Worker 1041C0700X LC50080060 DC Primary

Addresses

Primary practice location

100 Gallatin St NE
Washington, DC 20011-7533

Mailing address

2333 Ontario Road NW
Washington, DC 20009

Other practice location 1

508 Kennedy St NW
Washington, DC 20011-3010
Phone (202) 483-8196

Other identifiers 1

IdentifierTypeStateIssuer
17710OtherMDMD LGSW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20220803000341 DC Practitioner - Clinical Social Worker 4385026657 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 444-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LG50079715DCMDSocial Worker
LC50080060DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Jul 1, 2025 Accepting new patients
Mary's Center for Maternal and Child Care, Inc Current Accepting new patients
Mary's Center for Maternal and Child Care, Inc CurrentSince Jun 20, 2022 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jul 1, 2025 Accepting new patients
Marys Center for Maternal and Child Care Inc CurrentSince Jun 20, 2022 Accepting new patients

Locations

100 Gallatin St NE
Washington, DC 20011
Phone (202) 545-0515

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

2333 Ontario Rd NW
Washington, DC 20009
Phone (202) 420-7175

6315 5th St NW
Washington, DC 20011
Phone (202) 671-6080

3912 Georgia Ave NW
Washington, DC 20011
Phone (844) 796-2797

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

8908 Riggs Rd
Hyattsville, MD 20783
Phone (301) 422-5900

344 University Blvd W
Silver Spring, MD 20901
Phone (301) 439-0300

Organizations & group practices 5

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": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1043643497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 ONTARIO ROAD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GALLATIN ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200117533",
            "telephone_number": "202-483-8196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 Kennedy St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200113010",
            "country_code": "US",
            "telephone_number": "202-483-8196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBLUM",
        "first_name": "SOFIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LG50079715",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50080060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LGSW",
            "identifier": "17710",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.