Individual provider Active NPI

Sara Aefsky, LGSW

  • Clinical Social Worker
  • Glen Burnie, MD
National Provider Identifier
1629321591
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16396 Issued in MD
Practice address
804 Landmark Dr
#118
Glen Burnie, MD 21061-4486
Phone
(410) 863-7213
Fax
(410) 863-7205
NPI assigned
Oct 17, 2012
Last updated
Oct 17, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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 16396 MD Primary

Addresses

Primary practice location

804 Landmark Dr
#118
Glen Burnie, MD 21061-4486

Mailing address

804 Landmark Dr
#118
Glen Burnie, MD 21061-4486
Phone (410) 863-7213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16396MDMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1629321591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 LANDMARK DR",
            "address_2": "#118",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614486",
            "telephone_number": "410-863-7213",
            "fax_number": "410-863-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 LANDMARK DR",
            "address_2": "#118",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614486",
            "telephone_number": "410-863-7213",
            "fax_number": "410-863-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AEFSKY",
        "first_name": "SARA",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.