Individual provider Active NPI

Dara Rosoff Alewine, LCSW-C

  • Clinical Social Worker
  • Annapolis, MD
National Provider Identifier
1366639171
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09798 Issued in MD
Practice address
132 Holiday CT
Suite 208
Annapolis, MD 21401-7005
Phone
(443) 994-7456
NPI assigned
Sep 26, 2007
Last updated
Dec 17, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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 09798 MD Primary

Addresses

Primary practice location

132 Holiday CT
Suite 208
Annapolis, MD 21401-7005

Mailing address

132 Holiday CT
Suite 208
Annapolis, MD 21401-7005
Phone (443) 994-7456

Other identifiers 2

IdentifierTypeStateIssuer
522346181OtherMDTRICARE
QG59DOtherMDCAREFIRST BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Oct 1, 2012 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
09798MDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1366639171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 HOLIDAY CT",
            "address_2": "SUITE 208",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017005",
            "telephone_number": "443-994-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 HOLIDAY CT",
            "address_2": "SUITE 208",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017005",
            "telephone_number": "443-994-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEWINE",
        "first_name": "DARA",
        "middle_name": "ROSOFF",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "522346181",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "QG59D",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.