Active NPI
Rachel Sorra
- Clinical Social Worker
- Mount Airy, MD
National Provider Identifier
1356906978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 22797
- Practice address
- 13401B Old Annapolis Rd
Mount Airy, MD 21771-7717 - Phone
- (240) 316-6772
- NPI assigned
- May 8, 2019
- Sex
- Female
- 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 | 22797 | Primary |
Addresses
Primary practice location
13401B Old Annapolis Rd
Mount Airy, MD 21771-7717
Mailing address
13401B Old Annapolis Rd
Mount Airy, MD 21771-7717
Phone (240) 316-6772
Other practice location 1
3413 Olandwood Ct Ste 203
Olney, MD 20832-1489
Phone (240) 316-6772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 14, 2024 through Feb 14, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691280000000",
"number": "1356906978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13401B OLD ANNAPOLIS RD",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217717717",
"telephone_number": "240-316-6772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13401B OLD ANNAPOLIS RD",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217717717",
"telephone_number": "240-316-6772"
}
],
"practiceLocations": [
{
"address_1": "3413 Olandwood Ct Ste 203",
"address_purpose": "LOCATION",
"city": "Olney",
"state": "MD",
"postal_code": "208321489",
"country_code": "US",
"telephone_number": "240-316-6772",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SORRA",
"first_name": "RACHEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-08",
"last_updated": "2023-08-06",
"certification_date": "2023-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": "22797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Airy, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.