NPIMap

Individual provider Active NPI

Sorena Lynn Sweatt, LCSW-C

  • Clinical Social Worker
  • Riverdale, MD
National Provider Identifier
1093251464
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21212 Issued in MD
Practice address
6811 Kenilworth Ave Ste 500
Riverdale, MD 20737-1318
Phone
(302) 715-2503
NPI assigned
Jan 10, 2017
Last updated
Oct 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 21212 MD Primary
School Social Worker 1041S0200X LG50081996 DC
School Social Worker 1041S0200X 21212 MD

Addresses

Primary practice location

6811 Kenilworth Ave Ste 500
Riverdale, MD 20737-1318

Mailing address

7645 E Arbory CT
Laurel, MD 20707-5537
Phone (302) 312-0363

Other practice location 1

14740 4th St
Apt 313
Laurel, MD 20707-3718
Phone (302) 312-0363

Other practice location 2

1300 Mercantile Ln Ste 100S
Upper Marlboro, MD 20774-5383
Phone (302) 715-2503

Other names 1

  • Sorena Lynn Eaddy Former name

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
LG50081996DCMDSchool Social Worker
21212MDMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Confidence in You Services, LLC Clinical CurrentSince Feb 1, 2021 Accepting new patients

Locations

14280 Baltimore Ave
Laurel, MD 20707
Phone (240) 565-9022

1300 Mercantile Ln
Ste 100S
Upper Marlboro, MD 20774
Phone (301) 246-2011

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1093251464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7645 E ARBORY CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075537",
            "telephone_number": "302-312-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 KENILWORTH AVE STE 500",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371318",
            "telephone_number": "302-715-2503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14740 4th St",
            "address_2": "Apt 313",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207073718",
            "country_code": "US",
            "telephone_number": "302-312-0363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Mercantile Ln Ste 100S",
            "address_purpose": "LOCATION",
            "city": "Upper Marlboro",
            "state": "MD",
            "postal_code": "207745383",
            "country_code": "US",
            "telephone_number": "302-715-2503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEATT",
        "first_name": "SORENA",
        "middle_name": "LYNN",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2020-10-25",
        "certification_date": "2020-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21212",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "DC",
            "license": "LG50081996",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MD",
            "license": "21212",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SORENA",
            "last_name": "EADDY",
            "middle_name": "LYNN",
            "credential": "LCSW-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Riverdale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; 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.