Individual provider Active NPI

Eleanor Lara Abdel-Salam, LCSW-C

  • Clinical Social Worker
  • Catonsville, MD
National Provider Identifier
1487300380
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16738 Issued in MD
Practice address
19 Hickory Ridge CT
Catonsville, MD 21228-2419
Phone
(410) 422-3676
NPI assigned
Mar 1, 2022
Last updated
Apr 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 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 16738 MD Primary

Addresses

Primary practice location

19 Hickory Ridge CT
Catonsville, MD 21228-2419

Mailing address

19 Hickory Ridge CT
Catonsville, MD 21228-2419
Phone (410) 422-3676

Other names 1

  • Eleanor L Somers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230426000980 MD Practitioner - Clinical Social Worker 1658736624 Reassigns benefits to 1 organization
I20230426001666 DC Practitioner - Clinical Social Worker 1658736624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Della Behavioral Health ServicesGroup PAC ID 3971755000, 54 clinicians

Practice addresses (Care Compare)

16940 Georgia Ave
Olney, MD 20832-2424
Phone (410) 929-7225

7067 Columbia Gateway Dr
Suite 180
Columbia, MD 21046-3408

9841 Broken Land Pkwy
Suite 314
Columbia, MD 21046-3078
Phone (410) 929-7225

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Quality
75.8
Improvement activities
40
Cost
77.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16738MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Della Behavioral Health Services CurrentSince May 30, 2023 Accepting new patients

Locations

9841 Broken Land Pkwy
Ste 314
Columbia, MD 21046
Phone (410) 929-7225

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1487300380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HICKORY RIDGE CT",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212282419",
            "telephone_number": "410-422-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 HICKORY RIDGE CT",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212282419",
            "telephone_number": "410-422-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDEL-SALAM",
        "first_name": "ELEANOR",
        "middle_name": "LARA",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELEANOR",
            "last_name": "SOMERS",
            "middle_name": "L",
            "credential": "LCSW-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.