Individual provider Active NPI

Sheryl Kay Swidensky, LCSW-C

  • Clinical Social Worker
  • Glen Burnie, MD
National Provider Identifier
1114526480
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
04867 Issued in MD
Practice address
30 Greenway St NW
Glen Burnie, MD 21061-3557
Phone
(410) 760-9079
NPI assigned
Oct 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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 04867 MD Primary

Addresses

Primary practice location

30 Greenway St NW
Glen Burnie, MD 21061-3557

Mailing address

212 Gray Fox CT
Edgewater, MD 21037-2733
Phone (410) 353-2397

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
I20210804004320 MD Practitioner - Clinical Social Worker 1355745829 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oasis the Mental Health Center LLCGroup PAC ID 8527424837, 26 clinicians

Practice addresses (Care Compare)

1363 Becknel Ave
Odenton, MD 21113-1501
Phone (410) 760-9079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04867MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis the Mental Health Center, LLC CurrentSince Jun 1, 2023 Accepting new patients
Greater Baltimore Counseling Center, LLC Clinical CurrentSince Jul 1, 2021 Accepting new patients
Oasis the Mental Health Center, LLC Clinical Past Accepting new patients

Locations

175 Admiral Cochrane Dr
Ste 110
Annapolis, MD 21401
Phone (410) 571-0888

175 Admiral Cochrane Dr
Ste 101B
Annapolis, MD 21401
Phone 41076090790

30 Greenway St NW
Ste 5
Glen Burnie, MD 21061
Phone 41076090790

1363 Becknel Ave
Odenton, MD 21113
Phone (240) 381-7900

1850 York Rd
Ste K
Timonium, MD 21093
Phone (410) 410-7609

Organizations & group practices 3

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": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1114526480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 GRAY FOX CT",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210372733",
            "telephone_number": "410-353-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 GREENWAY ST NW",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613557",
            "telephone_number": "410-760-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIDENSKY",
        "first_name": "SHERYL",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "04867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.