Active NPI
Sara A. Negussie, LMSW
- School Social Worker
- Chillum, MD
National Provider Identifier
1063250751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 27442
- Practice address
- 5702 Sargent Rd
Chillum, MD 20782-2321 - Phone
- (301) 853-7370
- NPI assigned
- Jul 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 27442 | MD | Primary |
Addresses
Primary practice location
5702 Sargent Rd
Chillum, MD 20782-2321
Mailing address
6802 McClean Blvd
Baltimore, MD 21234-7200
Phone (443) 996-8187
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27442 | MD | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1063250751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6802 MCCLEAN BLVD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212347200",
"telephone_number": "443-996-8187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5702 SARGENT RD",
"city": "CHILLUM",
"state": "MD",
"postal_code": "207822321",
"telephone_number": "301-853-7370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEGUSSIE",
"first_name": "SARA",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-17",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MD",
"license": "27442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chillum, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.