Individual provider Active NPI

Sydney Shaye Fittro, LMSW

  • Social Worker
  • Elkton, MD
National Provider Identifier
1760098891
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
26338 Issued in MD
Practice address
200 Booth St
Elkton, MD 21921-5657
Phone
(443) 553-7865
NPI assigned
Sep 23, 2020
Last updated
Nov 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 26338 MD Primary

Addresses

Primary practice location

200 Booth St
Elkton, MD 21921-5657

Mailing address

5710 Ritchie Hwy
Brooklyn, MD 21225-3641
Phone (410) 636-5600

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
I20240322004164 MD Practitioner - Clinical Social Worker 8921456062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Texas a & M University System, HSC, College of Medicine, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Project Chesapeake, LLCGroup PAC ID 2769603034, 18 clinicians

Practice addresses (Care Compare)

108 Old Solomons Island Rd
Suite a
Annapolis, MD 21401-0920
Phone (443) 440-5782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26338MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Project Chesapeake, LLC CurrentSince Mar 12, 2024 Accepting new patients
Project Chesapeake, LLC Current Accepting new patients
Project Chesapeake, LLC CurrentSince Mar 12, 2024 Accepting new patients

Locations

108 Old Solomons Island Rd
Ste A
Annapolis, MD 21401
Phone (410) 266-5054

185 Admiral Cochrane Dr
Ste 120
Annapolis, MD 21401

1101 N Point Blvd
Ste 128
Baltimore, MD 21224
Phone (443) 231-3040

5710 Ritchie Hwy
Brooklyn Park, MD 21225
Phone (410) 636-5600

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, 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": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1760098891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 RITCHIE HWY",
            "city": "BROOKLYN",
            "state": "MD",
            "postal_code": "212253641",
            "telephone_number": "410-636-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOOTH ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215657",
            "telephone_number": "443-553-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITTRO",
        "first_name": "SYDNEY",
        "middle_name": "SHAYE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "26338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

Verify at the official NPI Registry.