Individual provider Active NPI

Sandra Lynn Pierce, LCSW-C, LCSW

  • Clinical Social Worker
  • Glen Burnie, MD
National Provider Identifier
1235468620
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15502 Issued in MD
Practice address
1406B Crain Hwy S
Suite 206
Glen Burnie, MD 21061-4099
Phone
(410) 768-6088
Fax
(410) 768-6444
NPI assigned
Dec 14, 2009
Last updated
May 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 15502 MD Primary
Clinical Social Worker 1041C0700X CW017321 PA

Addresses

Primary practice location

1406B Crain Hwy S
Suite 206
Glen Burnie, MD 21061-4099

Mailing address

1406B Crain Hwy S
Suite 206
Glen Burnie, MD 21061-4099
Phone (410) 768-6088

Other identifiers 1

IdentifierTypeStateIssuer
027809200MedicaidMD

Other names 1

  • Ms. Sandra L Pierce Professional name

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1235468620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406B CRAIN HWY S",
            "address_2": "SUITE 206",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614099",
            "telephone_number": "410-768-6088",
            "fax_number": "410-768-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406B CRAIN HWY S",
            "address_2": "SUITE 206",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614099",
            "telephone_number": "410-768-6088",
            "fax_number": "410-768-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "SANDRA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW-C, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-14",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15502",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017321",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027809200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "PIERCE",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "LCSW-C, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.