Individual provider Active NPI

Nathaniel Addison Sawyer, LCSW-C

  • Clinical Social Worker
  • Montgomery Village, MD
National Provider Identifier
1316263239
Registry record updated Jul 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15858 Issued in MD
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

Updated by the provider on Jul 17, 2011

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
15858MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Midcounty Therapy, LLC Clinical CurrentSince Dec 1, 2017 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.

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

Verify at the official NPI Registry.