Individual provider Active NPI

Olubusola Sari, LCSW-C

  • Clinical Social Worker
  • Princess Anne, MD
National Provider Identifier
1730712852
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16857 Issued in MD
Practice address
30435 Mount Vernon Rd
Princess Anne, MD 21853-1437
Phone
(443) 257-9442
NPI assigned
Feb 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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 16857 MD Primary

Addresses

Primary practice location

30435 Mount Vernon Rd
Princess Anne, MD 21853-1437

Mailing address

30435 Mount Vernon Rd
Princess Anne, MD 21853-1437
Phone (443) 257-9442

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
I20201008000212 MD Practitioner - Clinical Social Worker 0244659423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1612 Professional Blvd
Suite a
Crofton, MD 21114-2049
Phone (443) 203-8508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MLJ Counseling & Consulting Firm, LLC Clinical CurrentSince Sep 13, 2020 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
MLJ Counseling & Consulting Firm, LLC Clinical Current Accepting new patients

Locations

1612 Professional Blvd
Ste A
Crofton, MD 21114
Phone (443) 203-8508

30435 Mount Vernon Rd
Princess Anne, MD 21853
Phone (410) 870-4697

Interoperability endpoints

  • Direct secure messaging: olubusolasari@tdh.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1730712852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30435 MOUNT VERNON RD",
            "city": "PRINCESS ANNE",
            "state": "MD",
            "postal_code": "218531437",
            "telephone_number": "443-257-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30435 MOUNT VERNON RD",
            "city": "PRINCESS ANNE",
            "state": "MD",
            "postal_code": "218531437",
            "telephone_number": "443-257-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARI",
        "first_name": "OLUBUSOLA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princess Anne, MD

Sources for this page

Verify at the official NPI Registry.