Individual provider Active NPI

Sarah Nelson Hammack, LCSW-C

  • Clinical Social Worker
  • Silver Spring, MD
National Provider Identifier
1164579306
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12749 Issued in MD
Practice address
8818 Georgia Ave
Second Floor
Silver Spring, MD 20910-2713
Phone
(301) 563-7007
Fax
(301) 563-7009
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 12749 MD Primary

Addresses

Primary practice location

8818 Georgia Ave
Second Floor
Silver Spring, MD 20910-2713

Mailing address

5521 Charles St
Bethesda, MD 20814-1614
Phone (301) 503-8676

Other identifiers 1

IdentifierTypeStateIssuer
003427400MedicaidMD

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
I20051230000403 DC Practitioner - Clinical Social Worker 5294757415 Reassigns benefits to 1 organization
Practice locations: Kensington, MD

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12749MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Montgomery, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Cornerstone Montgomery, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Threshold Services, Inc. Past Accepting new patients

Locations

6040 Southport Dr
Bethesda, MD 20814
Phone 3014934200228

2 Taft Ct
Ste 200
Rockville, MD 20850
Phone (301) 715-3673

1398 Lamberton Dr
Silver Spring, MD 20902
Phone (301) 754-1102

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164579306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5521 CHARLES ST",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141614",
            "telephone_number": "301-503-8676",
            "fax_number": "301-530-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8818 GEORGIA AVE",
            "address_2": "SECOND FLOOR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102713",
            "telephone_number": "301-563-7007",
            "fax_number": "301-563-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMACK",
        "first_name": "SARAH",
        "middle_name": "NELSON",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003427400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.