Active NPI
Sydney Shaye Fittro, LMSW
- Social Worker
- Elkton, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 26338
- Practice address
- 200 Booth St
Elkton, MD 21921-5657 - Phone
- (443) 553-7865
- NPI assigned
- Sep 23, 2020
- Last updated
- Nov 7, 2023
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26338 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Project Chesapeake, LLC | Current | Accepting new patients | |
| Project Chesapeake, LLC | Current | Accepting new patients | |
| Project Chesapeake, LLC | Current | 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.
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- NPI 1104709088
-
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- Annapolis, MD
- NPI 1174025175
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.