Individual provider Active NPI

Sarah Rosenberg

  • Clinical Social Worker
  • Tracys Landing, MD
National Provider Identifier
1558692590
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05856 Issued in MD
Practice address
465 Fairhaven Rd
Tracys Landing, MD 20779-2505
Phone
(410) 257-0955
NPI assigned
Jan 14, 2010
Last updated
Jul 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MD
Clinical Social Worker 1041C0700X 05856 MD Primary

Addresses

Primary practice location

465 Fairhaven Rd
Tracys Landing, MD 20779-2505

Mailing address

465 Fairhaven Rd
Tracys Landing, MD 20779-2505

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
I20170426002043 MD Practitioner - Clinical Social Worker 3072890243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Interventions, LLCGroup PAC ID 9032426549, 4 clinicians

Practice addresses (Care Compare)

5 Oak CT
Annapolis, MD 21401-7017
Phone (410) 266-3040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05856MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Interventions, LLC Clinical CurrentSince May 1, 2017 Accepting new patients

Locations

5 Oak Ct
Annapolis, MD 21401
Phone (410) 266-3040

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": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500595200000",
    "number": "1558692590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 FAIRHAVEN RD",
            "city": "TRACYS LANDING",
            "state": "MD",
            "postal_code": "207792505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 FAIRHAVEN RD",
            "city": "TRACYS LANDING",
            "state": "MD",
            "postal_code": "207792505",
            "telephone_number": "410-257-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2017-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "05856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracys Landing, MD

Sources for this page

Verify at the official NPI Registry.