Individual provider Active NPI

Sandy Hansborough, LCSW-C

  • Clinical Social Worker
  • Westminster, MD
National Provider Identifier
1609164631
Registry record updated Nov 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15913 Issued in MD
Practice address
250 Englar Rd Ste 3
Carroll Plaza Shopping Center
Westminster, MD 21157-2927
Phone
(410) 615-3469
Fax
(800) 251-0179
NPI assigned
Jul 12, 2011
Last updated
Nov 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2016

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 15913 MD Primary

Addresses

Primary practice location

250 Englar Rd Ste 3
Carroll Plaza Shopping Center
Westminster, MD 21157-2927

Mailing address

59 Kate Wagner Rd
Carroll Plaza Shopping Center
Westminster, MD 21157-6957
Phone (410) 848-2500

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
I20161221000870 MD Practitioner - Clinical Social Worker 2466733985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carroll County Youth Service Bureau, Inc.Group PAC ID 2365417052, 12 clinicians

Practice addresses (Care Compare)

59 Kate Wagner Rd
Westminster, MD 21157-6957
Phone (410) 848-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll County Youth Service Bureau, Inc. CurrentSince Nov 15, 2016 Accepting new patients

Locations

59 Kate Wagner Rd
Westminster, MD 21157
Phone (410) 596-1755

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": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478822400000",
    "number": "1609164631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 KATE WAGNER RD",
            "address_2": "CARROLL PLAZA SHOPPING CENTER",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576957",
            "telephone_number": "410-848-2500",
            "fax_number": "410-876-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 ENGLAR RD STE 3",
            "address_2": "CARROLL PLAZA SHOPPING CENTER",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211572927",
            "telephone_number": "410-615-3469",
            "fax_number": "800-251-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSBOROUGH",
        "first_name": "SANDY",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2016-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.