Individual provider Active NPI

Betsy Rosenbaum-Cassel, LCSW-C

  • Clinical Social Worker
  • Sykesville, MD
National Provider Identifier
1043783392
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16627 Issued in MD
Practice address
603 Old Liberty Rd Ste 1
Sykesville, MD 21784-8550
Phone
(410) 921-9004
Fax
(410) 795-0140
NPI assigned
Jan 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16627 MD Primary

Addresses

Primary practice location

603 Old Liberty Rd Ste 1
Sykesville, MD 21784-8550

Mailing address

1310 Allen CT
Eldersburg, MD 21784-6108
Phone (443) 985-3418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16627MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1043783392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 ALLEN CT",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846108",
            "telephone_number": "443-985-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 OLD LIBERTY RD STE 1",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217848550",
            "telephone_number": "410-921-9004",
            "fax_number": "410-795-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBAUM-CASSEL",
        "first_name": "BETSY",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sykesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.