Individual provider Active NPI

Sabrina Levell Bryant, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1720484900
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17022 Issued in MD
Practice address
9814 Decatur Rd
Baltimore, MD 21220-3777
Phone
(410) 937-1733
NPI assigned
Nov 14, 2014
Last updated
Sep 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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 17022 MD Primary

Addresses

Primary practice location

9814 Decatur Rd
Baltimore, MD 21220-3777

Mailing address

9814 Decatur Rd
Baltimore, MD 21220-3777
Phone (410) 937-1733

Other practice location 1

1101 E 33rd St
Baltimore, MD 21218-3637
Phone (410) 516-2000

Other practice location 2

4419 Falls Rd Ste A
Baltimore, MD 21211-1298
Phone (443) 630-7652

Other practice location 3

300 Armory Pl
Baltimore, MD 21201-4603
Phone (410) 856-3822

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
I20160419001993 MD Practitioner - Clinical Social Worker 0143528455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17022MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Life Therapy, LLC CurrentSince Nov 20, 2023 Accepting new patients

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": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1720484900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9814 DECATUR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212203777",
            "telephone_number": "410-937-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9814 DECATUR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212203777",
            "telephone_number": "410-937-1733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 E 33rd St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212183637",
            "country_code": "US",
            "telephone_number": "410-516-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4419 Falls Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212111298",
            "country_code": "US",
            "telephone_number": "443-630-7652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Armory Pl",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212014603",
            "country_code": "US",
            "telephone_number": "410-856-3822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "SABRINA",
        "middle_name": "LEVELL",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-14",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.