Individual provider Active NPI

Rodra Oliver, LCSW-C

  • Clinical Social Worker
  • Columbia, MD
National Provider Identifier
1568053825
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26517 Issued in MD
Practice address
9030 Old Annapolis Rd Ste a
Columbia, MD 21045-1990
Phone
(240) 838-1294
NPI assigned
Jan 29, 2021
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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 26517 MD Primary

Addresses

Primary practice location

9030 Old Annapolis Rd Ste a
Columbia, MD 21045-1990

Mailing address

45B Joyceton Ter
Upper Marlboro, MD 20774-1341
Phone (240) 838-1294

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL NA

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
I20241002001713 MD Practitioner - Clinical Social Worker 4880125749 Reassigns benefits to 2 organizations
I20241108000299 DC Practitioner - Clinical Social Worker 4880125749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Way Station IncGroup PAC ID 8628064151, 25 clinicians

Practice addresses (Care Compare)

9030 State Route 108
Suite a
Columbia, MD 21045-1990
Phone (410) 740-1901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26517MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Way Station, Inc. Current Accepting new patients
Mosaic Community Services, Inc. Current Accepting new patients
Mosaic Community Services, Inc. CurrentSince Aug 31, 2024 Accepting new patients
Mosaic Community Services, Inc CurrentSince Aug 31, 2024 Accepting new patients
Family Services, Inc Current Accepting new patients
Family Services, Inc. CurrentSince Aug 31, 2024 Accepting new patients

Locations

2225 N Charles St
Baltimore, MD 21218
Phone (410) 366-4360

210 Abrecht Pl
Frederick, MD 21701
Phone (301) 663-8263

610 E Diamond Ave
Ste 100
Gaithersburg, MD 20877
Phone (301) 840-2000

328 N Potomac St
Hagerstown, MD 21740
Phone (410) 740-1901

1925 Greenspring Dr
Timonium, MD 21093

288 E Green St
Westminster, MD 21157
Phone (410) 751-5970

Organizations & group practices 6

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": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1568053825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45B JOYCETON TER",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741341",
            "telephone_number": "240-838-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 OLD ANNAPOLIS RD STE A",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451990",
            "telephone_number": "240-838-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "RODRA",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "26517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "9701 Apollo Dr Ste 100",
            "city": "Largo",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207744785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.