Active NPI
Nathaniel Addison Sawyer, LCSW-C
- Clinical Social Worker
- Montgomery Village, MD
National Provider Identifier
1316263239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15858
- Practice address
- 18502 Office Park Dr
Montgomery Village, MD 20886-0585 - Phone
- (301) 509-9359
- NPI assigned
- Apr 16, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 15858 | MD | Primary |
Addresses
Primary practice location
18502 Office Park Dr
Montgomery Village, MD 20886-0585
Mailing address
18502 Office Park Dr
Montgomery Village, MD 20886-0585
Phone (301) 509-9359
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130430000019 | DC | Practitioner - Clinical Social Worker | 6800924903 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
18502 Office Park Dr
Montgomery Village, MD 20886-0585
Phone (301) 509-9359
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15858 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midcounty Therapy, LLC | Clinical | Current | Accepting new patients |
| Baltimore Behavioral Health, Inc | Past | Accepting new patients | |
| Baltimore Behavioral Health, Inc | Past | Accepting new patients |
Locations
18502 Office Park Dr
Montgomery Village, MD 20886
Phone (301) 509-9359
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Baltimore, MD
- NPI 1104133925
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1285816140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310860800000",
"number": "1316263239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18502 OFFICE PARK DR",
"city": "MONTGOMERY VILLAGE",
"state": "MD",
"postal_code": "208860585",
"telephone_number": "301-509-9359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18502 OFFICE PARK DR",
"city": "MONTGOMERY VILLAGE",
"state": "MD",
"postal_code": "208860585",
"telephone_number": "301-509-9359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAWYER",
"first_name": "NATHANIEL",
"middle_name": "ADDISON",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-16",
"last_updated": "2011-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "15858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery Village, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.