Individual provider Active NPI

Sarah Maria Buonanno, LCSW-C

  • Clinical Social Worker
  • Rockville, MD
National Provider Identifier
1245839778
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23769 Issued in MD
Practice address
12301 Academy Way
Rockville, MD 20852-2000
Phone
(301) 761-2744
NPI assigned
Oct 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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 23769 MD Primary

Addresses

Primary practice location

12301 Academy Way
Rockville, MD 20852-2000

Mailing address

1322 Veirs Mill Rd
Rockville, MD 20851-1748
Phone (301) 412-9497

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
I20240419001688 DC Practitioner - Clinical Social Worker 4981043106 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23769MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital CurrentSince Mar 26, 2024 Accepting new patients
Children'S Hospital CurrentSince Mar 26, 2024 Accepting new patients
Children'S Hospital Current Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

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": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1245839778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 VEIRS MILL RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208511748",
            "telephone_number": "301-412-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 ACADEMY WAY",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522000",
            "telephone_number": "301-761-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUONANNO",
        "first_name": "SARAH",
        "middle_name": "MARIA",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "23769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.