Active NPI
Sarah E Dziwanowski, LCSW-C
- Clinical Social Worker
- Glen Burnie, MD
National Provider Identifier
1689263188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 20601
- Practice address
- 312 Robert Price CT
Glen Burnie, MD 21060-8581 - Phone
- (240) 447-3296
- NPI assigned
- Jan 11, 2021
- 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 | 20601 | MD | Primary |
Addresses
Primary practice location
312 Robert Price CT
Glen Burnie, MD 21060-8581
Mailing address
312 Robert Price CT
Glen Burnie, MD 21060-8581
Phone (240) 447-3296
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 11, 2021 through Jan 11, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20601 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610323200000",
"number": "1689263188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 ROBERT PRICE CT",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210608581",
"telephone_number": "240-447-3296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 ROBERT PRICE CT",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210608581",
"telephone_number": "240-447-3296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DZIWANOWSKI",
"first_name": "SARAH",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-11",
"last_updated": "2021-01-11",
"certification_date": "2021-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "20601",
"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 Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.