Individual provider Active NPI

Sara Jane Paulino Iral, LMSW

  • Social Worker
  • Dundalk, MD
National Provider Identifier
1407474984
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
26142 Issued in MD
Practice address
7811 Wise Ave
Dundalk, MD 21222-3339
Phone
(443) 530-6533
Fax
(443) 503-5436
NPI assigned
Jul 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 26142 MD Primary

Addresses

Primary practice location

7811 Wise Ave
Dundalk, MD 21222-3339

Mailing address

7811 Wise Ave
Dundalk, MD 21222-3339
Phone (443) 530-6533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26142MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1407474984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7811 WISE AVE",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212223339",
            "telephone_number": "443-530-6533",
            "fax_number": "443-503-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7811 WISE AVE",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212223339",
            "telephone_number": "443-530-6533",
            "fax_number": "443-503-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRAL",
        "first_name": "SARA JANE",
        "middle_name": "PAULINO",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "26142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dundalk, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.