Individual provider Active NPI

Sandra Lee Barrett, LCSW-C

  • Clinical Social Worker
  • Marlow Heights, MD
National Provider Identifier
1487707535
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06466 Issued in MD
Practice address
4400 Stamp Rd
306
Marlow Heights, MD 20748-6716
Phone
(301) 316-4176
NPI assigned
Jan 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 06466 MD Primary
Clinical Social Worker 1041C0700X 0904002658 VA
Clinical Social Worker 1041C0700X LI50077695 DC

Addresses

Primary practice location

4400 Stamp Rd
306
Marlow Heights, MD 20748-6716

Mailing address

8427 Silverdale CT
Lorton, VA 22079-3065
Phone (301) 316-4176

Other identifiers 1

IdentifierTypeStateIssuer
165000900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20150731014931 DC Practitioner - Clinical Social Worker 4789998931 Practice locations: Marlow Heights, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Boston University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4400 Stamp Rd
Suite 310
Marlow Heights, MD 20748-6729
Phone (301) 316-4176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LI50077695DCMDClinical Social Worker
06466MDMDClinical Social Worker
0904002658VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1487707535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8427 SILVERDALE CT",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220793065",
            "telephone_number": "301-316-4176",
            "fax_number": "703-646-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 STAMP RD",
            "address_2": "306",
            "city": "MARLOW HEIGHTS",
            "state": "MD",
            "postal_code": "207486716",
            "telephone_number": "301-316-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-20",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "06466",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002658",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LI50077695",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165000900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlow Heights, MD

Sources for this page

Verify at the official NPI Registry.