Individual provider Active NPI

Shelley Searfoss, LCSW-C

  • Social Worker
  • Baltimore, MD
National Provider Identifier
1073036224
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
16123 Issued in MD
Practice address
1501 S. Clinton St.
Mailstop CT 05-13
Baltimore, MD 21224
Phone
(410) 953-1887
NPI assigned
Jul 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16123 MD
Social Worker 104100000X 16123 MD Primary

Addresses

Primary practice location

1501 S. Clinton St.
Mailstop CT 05-13
Baltimore, MD 21224

Mailing address

3128 East Ave
Parkville, MD 21234-3107

Other practice location 1

5840 Banneker Rd Ste 200
Columbia, MD 21044-3156
Phone (443) 562-1267

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
I20181129000177 MD Practitioner - Clinical Social Worker 2062756281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Tree Counseling CenterGroup PAC ID 2961836150, 4 clinicians

Practice addresses (Care Compare)

101 W Ridgely Rd
Suite 3a
Lutherville, MD 21093-5147
Phone (410) 834-5734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Tree Counseling Center Clinical CurrentSince Jun 1, 2020 Accepting new patients

Locations

101 W Ridgely Rd
Ste 3A
Lutherville, MD 21093
Phone (410) 834-5734

Organizations & group practices 1

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": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1073036224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3128 EAST AVE",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212343107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S. CLINTON ST.",
            "address_2": "MAILSTOP CT 05-13",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21224",
            "telephone_number": "410-953-1887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5840 Banneker Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210443156",
            "country_code": "US",
            "telephone_number": "443-562-1267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEARFOSS",
        "first_name": "SHELLEY",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16123",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "16123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.