Individual provider Active NPI

Maggie Dara Rosenbloom, LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1134490568
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50080582 Issued in DC
Practice address
Howard University Hospital
2041 Georgia Ave NW- 5B
Washington, DC 20060-7219
Phone
(202) 865-6611
NPI assigned
Jan 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LG50079780 DC
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X LC50080582 DC Primary

Addresses

Primary practice location

Howard University Hospital
2041 Georgia Ave NW- 5B
Washington, DC 20060-7219

Mailing address

Howard University Hospital
2041 Georgia Ave NW- 5B
Washington, DC 20060-7219
Phone (202) 865-6611

Other practice location 1

2300 M St NW
Suite 110
Washington, DC 20037-1434
Phone (202) 677-6938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20210114001492 DC Practitioner - Clinical Social Worker 4385057280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Howard UniversityGroup PAC ID 0941109565, 182 clinicians

Practice addresses (Care Compare)

2041 Georgia NW Ave
Washington, DC 20060-0001
Phone (202) 865-6679

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LG50079780DCMDSocial Worker
LC50080582DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Howard University CurrentSince Oct 13, 2020 Accepting new patients

Locations

530 College Nwst
Washington, DC 20059
Phone (202) 865-6679

2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785

2041 Georgia Ave NW
#5B
Washington, DC 20060
Phone (202) 865-3796

2101 Medical Park Dr
Ste 305
Silver Spring, MD 20902
Phone (301) 754-0833

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": "1326758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1134490568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HOWARD UNIVERSITY HOSPITAL",
            "address_2": "2041 GEORGIA AVE NW- 5B",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200607219",
            "telephone_number": "202-865-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOWARD UNIVERSITY HOSPITAL",
            "address_2": "2041 GEORGIA AVE NW- 5B",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200607219",
            "telephone_number": "202-865-6611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 M St NW",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200371434",
            "country_code": "US",
            "telephone_number": "202-677-6938",
            "fax_number": "202-677-6942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBLOOM",
        "first_name": "MAGGIE",
        "middle_name": "DARA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-17",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LG50079780",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50080582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.