Individual provider Active NPI

Savanna Altenor

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1467156752
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28659 Issued in MD
Practice address
2 Hamill Rd Ste 332
Baltimore, MD 21210-1813
Phone
(443) 266-2270
NPI assigned
Mar 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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 28659 MD Primary

Addresses

Primary practice location

2 Hamill Rd Ste 332
Baltimore, MD 21210-1813

Mailing address

4407 Meadowcliff Rd
Glen Arm, MD 21057-9535

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
I20241108003755 MD Practitioner - Clinical Social Worker 2769916097 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Soup Counseling, LLC Clinical CurrentSince Oct 28, 2024 Accepting new patients
Stone Soup Counseling, LLC Clinical CurrentSince Oct 28, 2024 Accepting new patients

Locations

2 Hamill Rd
Ste 332
Baltimore, MD 21210
Phone (443) 226-2270

Organizations & group practices 2

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": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1467156752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 MEADOWCLIFF RD",
            "city": "GLEN ARM",
            "state": "MD",
            "postal_code": "210579535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HAMILL RD STE 332",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101813",
            "telephone_number": "443-266-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTENOR",
        "first_name": "SAVANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "28659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.