Individual provider Active NPI

Sophia Alessandra Adamo, MSW, LMSW

  • Social Worker
  • Hollywood, MD
National Provider Identifier
1336712017
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
27219 Issued in MD
Practice address
44101 Airport View Dr
Hollywood, MD 20636-3145
Phone
(301) 373-3065
NPI assigned
Jul 21, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pathways Inc 16 clinicians

Practice addresses (Care Compare)

44101 Airport View Dr
Hollywood, MD 20636-3145
Phone 3013733065241

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
I20240627001298 MD Practitioner - Clinical Social Worker 5092259366 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27219MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Inc Current Accepting new patients
Pathways Inc CurrentSince Jun 1, 2024 Accepting new patients

Locations

44101 Airport View Dr
Hollywood, MD 20636
Phone (301) 373-3065

501 Main St
Ste 203
Prince Frederick, MD 20678
Phone (301) 373-3065

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 27219 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

44101 Airport View Dr
Hollywood, MD 20636-3145

Mailing address

11509 Highland Farm CT
La Plata, MD 20646-3301
Phone (301) 752-9448

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2021.

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1336712017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11509 HIGHLAND FARM CT",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206463301",
            "telephone_number": "301-752-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44101 AIRPORT VIEW DR",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206363145",
            "telephone_number": "301-373-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMO",
        "first_name": "SOPHIA",
        "middle_name": "ALESSANDRA",
        "name_prefix": "Miss",
        "credential": "MSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "27219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, MD

Sources for this page

Verify at the official NPI Registry.