Active NPI
Rachel Iva Sage, LCSW-C
- Social Worker
- Baltimore, MD
National Provider Identifier
1780218024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 24883
- Practice address
- 4419 Falls Rd Ste D
Baltimore, MD 21211-1296 - Phone
- (410) 262-9894
- NPI assigned
- Feb 25, 2020
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
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 | 24883 | MD | Primary |
Addresses
Primary practice location
4419 Falls Rd Ste D
Baltimore, MD 21211-1296
Mailing address
4419 Falls Rd Ste D
Baltimore, MD 21211-1296
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 21, 2024 through Nov 21, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24883 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712880000000",
"number": "1780218024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4419 FALLS RD STE D",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212111296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4419 FALLS RD STE D",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212111296",
"telephone_number": "410-262-9894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAGE",
"first_name": "RACHEL",
"middle_name": "IVA",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2020-02-25",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "24883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.