Individual provider Active NPI

Nadia Surin, LCSW-C

  • Clinical Social Worker
  • Owings Mills, MD
National Provider Identifier
1225364037
Registry record updated Feb 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16619 Issued in MD
Practice address
9199 Reisterstown Rd
Ste 105B
Owings Mills, MD 21117-4513
Phone
(410) 989-9922
NPI assigned
Oct 29, 2009
Last updated
Feb 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2022

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 16619 MD Primary

Addresses

Primary practice location

9199 Reisterstown Rd
Ste 105B
Owings Mills, MD 21117-4513

Mailing address

9199 Reisterstown Rd
Ste 105B
Owings Mills, MD 21117-4513
Phone (410) 989-9922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16619MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Behavioral Health Services, LLC Current Accepting new patients
First Choice Behavioral Health Services, LLC Past Accepting new patients
First Choice Behavioral Health Services, LLC Past Accepting new patients
First Choice Behavioral Health Services, LLC Past Accepting new patients
First Choice Behavioral Health Services, LLC Clinical Past Accepting new patients
First Choice Behavioral Health Services, LLC Past Accepting new patients
First Choice Behavioral Health Services, LLC Past Accepting new patients
First Choice Behavioral Health Services, LLC Clinical Past Accepting new patients

Locations

17 Warren Rd
Ste 1A
Pikesville, MD 21208
Phone (410) 929-4793

Organizations & group practices 9

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": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1225364037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9199 REISTERSTOWN RD",
            "address_2": "STE 105B",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174513",
            "telephone_number": "410-989-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9199 REISTERSTOWN RD",
            "address_2": "STE 105B",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174513",
            "telephone_number": "410-989-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURIN",
        "first_name": "NADIA",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-29",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.