NPIMap

Individual provider Active NPI

Sarita Ford

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1235696808
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20824 Issued in MD
Practice address
300 Allegheny Ave Ste 101
Baltimore, MD 21204
Phone
(443) 720-0806
NPI assigned
Mar 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 20824 MD
Clinical Social Worker 1041C0700X 20824 MD Primary

Addresses

Primary practice location

300 Allegheny Ave Ste 101
Baltimore, MD 21204

Mailing address

300 Allegheny Ave Ste 101
Baltimore, MD 21204-4219

Other practice location 1

6901 N Charles St
Towson, MD 21204-3780
Phone (410) 887-0112

Other practice location 2

6012 Loch Raven Blvd
Baltimore, MD 21239-2307
Phone (443) 220-6182

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
20824MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Intentional Healing Therapeutic Services, LLC CurrentSince Mar 7, 2021 Accepting new patients
Bridge & Bloom Counseling, LLC Current Accepting new patients

Locations

300 Allegheny Ave
Ste 101
Towson, MD 21204
Phone (443) 720-0806

Organizations & group practices 2

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": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1235696808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ALLEGHENY AVE STE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212044219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ALLEGHENY AVE STE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21204",
            "telephone_number": "443-720-0806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6901 N Charles St",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212043780",
            "country_code": "US",
            "telephone_number": "410-887-0112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6012 Loch Raven Blvd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212392307",
            "country_code": "US",
            "telephone_number": "443-220-6182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "SARITA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MD",
            "license": "20824",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.