Eleanor Lara Abdel-Salam, LCSW-C

Individual provider Active NPI Clinical Social Worker · Catonsville, MD

NPI 1487300380 · NPPES record last updated Apr 7, 2023

Key facts

NPI
1487300380
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
16738 (MD)
Practice address
19 Hickory Ridge CT
Catonsville, MD 21228-2419
Phone
(410) 422-3676
NPI assigned
Mar 1, 2022
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

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 Services (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 100 (group)
Quality
75.8
Improvement activities
40
Cost
77.01

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MD, DC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
16738MDMDDentist

Practice roles

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

Locations

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16738 MD Yes

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

  • Eleanor L Somers Former name

Other providers in Catonsville, MD

All providers in Catonsville, MD · Clinical Social Worker in Maryland

Sources for this page

Verify at the official NPI Registry.