Active NPI
Sarah Quinn, LCSW-C
- Clinical Social Worker
- Baltimore, MD
National Provider Identifier
1629562004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16804
- Practice address
- 4623 Falls Rd
Baltimore, MD 21209-4914 - Phone
- (410) 366-1980
- Fax
- (410) 366-8530
- NPI assigned
- Jun 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 16804 | MD | Primary |
Addresses
Primary practice location
4623 Falls Rd
Baltimore, MD 21209-4914
Mailing address
4623 Falls Rd
Baltimore, MD 21209-4914
Phone (410) 366-1980
Other practice location 1
44 E Gordon St
Bel Air, MD 21014-2916
Phone (410) 838-9000
Other practice location 2
22 N Court St
Westminster, MD 21157-5110
Phone (410) 876-1233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 737009100 | Medicaid | MD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16804 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1629562004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4623 FALLS RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212094914",
"telephone_number": "410-366-1980",
"fax_number": "410-366-8530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4623 FALLS RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212094914",
"telephone_number": "410-366-1980",
"fax_number": "410-366-8530"
}
],
"practiceLocations": [
{
"address_1": "44 E Gordon St",
"address_purpose": "LOCATION",
"city": "Bel Air",
"state": "MD",
"postal_code": "210142916",
"country_code": "US",
"telephone_number": "410-838-9000",
"fax_number": "410-838-8953",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "22 N Court St",
"address_purpose": "LOCATION",
"city": "Westminster",
"state": "MD",
"postal_code": "211575110",
"country_code": "US",
"telephone_number": "410-876-1233",
"fax_number": "410-876-4791",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUINN",
"first_name": "SARAH",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-19",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "16804",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "737009100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.