Individual provider Active NPI

Sally Pugsley X, LCSW-CERTIFIED

  • Clinical Social Worker
  • Bethesda, MD
National Provider Identifier
1225482391
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
03704 Issued in MD
Practice address
8108 Hamilton Spring Rd
Bethesda, MD 20817-2716
Phone
(301) 469-4917
Fax
(301) 469-5917
NPI assigned
Apr 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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 03704 MD Primary

Addresses

Primary practice location

8108 Hamilton Spring Rd
Bethesda, MD 20817-2716

Mailing address

8108 Hamilton Spring Rd
Bethesda, MD 20817-2716
Phone (301) 469-4917

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
03704MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1225482391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8108 HAMILTON SPRING RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208172716",
            "telephone_number": "301-469-4917",
            "fax_number": "301-469-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8108 HAMILTON SPRING RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208172716",
            "telephone_number": "301-469-4917",
            "fax_number": "301-469-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGSLEY",
        "first_name": "SALLY",
        "name_suffix": "X",
        "credential": "LCSW-CERTIFIED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "03704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.