Sara Kettler, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

29271 Issued in MD

Practice address

4915 Saint Elmo Ave # 504
Bethesda, MD 20814-6019

Phone

(301) 229-0063

NPI assigned

Oct 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ellie Kettler Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 2, 2026 through Mar 2, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1518748508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 LADYSHIRE LN APT C401",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506483",
            "telephone_number": "301-379-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 SAINT ELMO AVE # 504",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146019",
            "telephone_number": "301-229-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTLER",
        "first_name": "SARA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "29271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLIE",
            "last_name": "KETTLER",
            "credential": "LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dara Kessler
• Joshua Michael Kessler, D.O.
• Peter Keszler
• Tsedeke Kocho Ketema, PHARMD
• Nardos Hlawe Ketsela, DDS
• Elaine Songyi-Lee Keung, MD, MPH
• Kevin I. Perman , MD PC
• Denise Key, LCPC
• Grace L Key, D.M.D.
• Kattie Khadar, DNP, CRNP-FAMILY

• Clinical Social Worker in Bethesda, MD
• Providers in Bethesda, 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 Oct 6, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.