Misty Lynn Sanjulian, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21840 Issued in MD

Practice address

1025 Memorial Dr
Oakland, MD 21550-4343

Phone

(301) 334-7060

NPI assigned

Dec 30, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Garrett County Health Department

  • Public Health or Welfare Agency
  • Oakland, MD
  • NPI 1568411619
  Medicare reassignment NPD
• Garrett County Health Dept-Substance Abuse

  • Community/Behavioral Health Agency
  • Oakland, MD
  • NPI 1477943108
  NPD

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1457064941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MEMORIAL DR",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215504343",
            "telephone_number": "301-334-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MEMORIAL DR",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215504343",
            "telephone_number": "301-334-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANJULIAN",
        "first_name": "MISTY",
        "middle_name": "LYNN",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-30",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21840",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MD",
            "license": "21840",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "misty.sanjulian1@maryland.gov",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "address_1": "1025 Memorial Dr",
            "city": "Oakland",
            "state": "MD",
            "country_code": "US",
            "postal_code": "215504343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Terrie Lyn Roth, FNP-BC
• Alexandra G Rubin
• Sacred Mama, LLC
• Salam Medical Equipment & Supplies, LLC
• Sheri Saluga, PMHNP-BC
• Sandra Leigh Santmyer, LMSW
• Micah Saviet, LCSW-C
• Savopoulos Professional, LLC
• Savopoulos Professional, LLC
• Sotiere Evan Savopoulos, M.D.

• Clinical Social Worker in Oakland, MD
• Providers in Oakland, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.