Individual provider Active NPI

Sara K Daly, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1366836280
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12276 Issued in MD
Practice address
1014 W 36TH St Unit 92
Baltimore, MD 21211-2415
Phone
(443) 516-7865
NPI assigned
Mar 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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 12276 MD Primary

Addresses

Primary practice location

1014 W 36TH St Unit 92
Baltimore, MD 21211-2415

Mailing address

3620 Elkader Rd
Baltimore, MD 21218-2000
Phone (443) 516-7865

Other practice location 1

2 Hamill Rd
Suite 326
Baltimore, MD 21210-1806
Phone (443) 516-7865

Other practice location 2

3620 Elkader Rd
Baltimore, MD 21218-2000
Phone (443) 690-7972

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
I20050909000891 MD Practitioner - Clinical Social Worker 8527090562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
70.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12276MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University Clinical CurrentSince Mar 15, 2022 Accepting new patients
Johns Hopkins University CurrentSince Mar 15, 2022 Accepting new patients
North Baltimore Center, Inc Past Accepting new patients

Locations

5505 Hopkins Bayview Cir
Baltimore, MD 21224
Phone (410) 550-0756

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

Organizations & group practices 4

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": "1427500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1366836280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 ELKADER RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182000",
            "telephone_number": "443-516-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 W 36TH ST UNIT 92",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112415",
            "telephone_number": "443-516-7865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Hamill Rd",
            "address_2": "Suite 326",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212101806",
            "country_code": "US",
            "telephone_number": "443-516-7865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3620 Elkader Rd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212182000",
            "country_code": "US",
            "telephone_number": "443-690-7972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALY",
        "first_name": "SARA",
        "middle_name": "K",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-28",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.