Individual provider Active NPI

Walter Wilson Sawyer, LCSW-C

  • Clinical Social Worker
  • Snow Hill, MD
National Provider Identifier
1265869101
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19839 Issued in MD
Practice address
6040 Public Landing Rd
Snow Hill, MD 21863-2453
Phone
(410) 632-1100
Fax
(410) 632-5682
NPI assigned
Oct 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 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 19839 MD Primary

Addresses

Primary practice location

6040 Public Landing Rd
Snow Hill, MD 21863-2453

Mailing address

6040 Public Landing Rd
Snow Hill, MD 21863-2453
Phone (410) 632-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20150717000885 MD Practitioner - Clinical Social Worker 8224341474 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Worcester Youth and Family Counseling Services, Inc.Group PAC ID 0143266379, 4 clinicians

Practice addresses (Care Compare)

124 N Main St
Suite C
Berlin, MD 21811-1062
Phone (410) 641-4598

9730 Healthway Dr
Berlin, MD 21811-1154
Phone (410) 629-0164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19839MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Worcester County Health Department CurrentSince Jun 20, 2017 Accepting new patients
Worcester County Health Department CurrentSince Jun 20, 2017 Accepting new patients
Worcester County Health Department Current Accepting new patients
Worcester Youth and Family Counseling Services, Inc. CurrentSince Jan 7, 2015 Accepting new patients

Locations

124 N Main St
Ste C
Berlin, MD 21811
Phone (410) 641-4598

9730 Healthway Dr
Berlin, MD 21811
Phone (410) 629-0164

6040 Public Landing Rd
Snow Hill, MD 21863
Phone (410) 629-0041

Organizations & group practices 4

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": "1381363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1265869101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 PUBLIC LANDING RD",
            "city": "SNOW HILL",
            "state": "MD",
            "postal_code": "218632453",
            "telephone_number": "410-632-1100",
            "fax_number": "410-632-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 PUBLIC LANDING RD",
            "city": "SNOW HILL",
            "state": "MD",
            "postal_code": "218632453",
            "telephone_number": "410-632-1100",
            "fax_number": "410-632-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWYER",
        "first_name": "WALTER",
        "middle_name": "WILSON",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-10",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snow Hill, MD

Sources for this page

Verify at the official NPI Registry.