Sara Rothleder, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12996 Issued in MD

Practice address

849 Quince Orchard Blvd Ste I
Gaithersburg, MD 20878-1684

Phone

(240) 274-5680

NPI assigned

May 9, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 9, 2024 through Jan 9, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• SGR Wellness LLC

  • Adult Mental Health Clinic/Center
  • Gaithersburg, MD
  • NPI 1417679994
  NPD Authorized official

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1730393141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAK KNOLL TER",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 QUINCE ORCHARD BLVD STE I",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781684",
            "telephone_number": "240-274-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHLEDER",
        "first_name": "SARA",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Therapy and Counseling, LLC
• Laura Roseman, M.D.
• Danielle Megan Rosenblatt, LCPC
• Leah Ross, DPT
• Leonard Darren Ross Jr.
• Anne Elizabeth Rothman, M.D.
• Maureen Rough, LGPC
• Rouhanian Dental PC
• Mary Evelyn Rouse, APRN, PMH
• Roxanne Dryden-Edwards, M.D., P.a.

• Clinical Social Worker in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.

Verify at the official NPI Registry.