Individual provider Active NPI

Lynda R Sowbel, LCSW-C, BCD, ACSW

  • Clinical Social Worker
  • Frederick, MD
National Provider Identifier
1275684607
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4908 Issued in MD
Practice address
8812 Indian Springs Rd
Frederick, MD 21702-2332
Phone
(301) 620-2902
NPI assigned
Jan 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4908 MD Primary

Addresses

Primary practice location

8812 Indian Springs Rd
Frederick, MD 21702-2332

Mailing address

5 N Bentz St
Frederick, MD 21701-4913
Phone (301) 631-2936

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
04809MDMDPsychologist
4908MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275684607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 N BENTZ ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014913",
            "telephone_number": "301-631-2936",
            "fax_number": "301-631-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8812 INDIAN SPRINGS RD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217022332",
            "telephone_number": "301-620-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWBEL",
        "first_name": "LYNDA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LCSW-C, BCD, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "4908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.