Active NPI
Sirah I Ali, MSW
- Clinical Social Worker
- Towson, MD
National Provider Identifier
1861950784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 21178
- Practice address
- 1055 Taylor Ave Ste 203
Towson, MD 21286-8333 - Phone
- (240) 907-1447
- NPI assigned
- Mar 10, 2019
- Last updated
- Mar 10, 2019
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 21178 | MD | Primary |
Addresses
Primary practice location
1055 Taylor Ave Ste 203
Towson, MD 21286-8333
Mailing address
616 Bridgeman Ter
Towson, MD 21204-2402
Phone (240) 907-1447
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21178 | MD | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloud Home Health Care Services LLC | Current | Accepting new patients | |
| Bridgeway Recovery LLC | Clinical | Current | Accepting new patients |
Locations
22 Wilson Ave NE
Ste 204
Saint Cloud, MN 56304
Phone (317) 801-4115
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- Saint Cloud, MN
- NPI 1568082428
-
- Clinical Social Worker
- Burnsville, MN
- NPI 1720849573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552176000000",
"number": "1861950784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 BRIDGEMAN TER",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042402",
"telephone_number": "240-907-1447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 TAYLOR AVE STE 203",
"city": "TOWSON",
"state": "MD",
"postal_code": "212868333",
"telephone_number": "240-907-1447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "SIRAH",
"middle_name": "I",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-10",
"last_updated": "2019-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "21178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.