Sirah I Ali, MSW
Individual provider Active NPI Clinical Social Worker · Towson, MD
NPI 1861950784 · NPPES record last updated Mar 10, 2019
Key facts
- NPI
- 1861950784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 21178 (MD)
- Practice address
- 1055 Taylor Ave Ste 203
Towson, MD 21286-8333 - Phone
- (240) 907-1447
- NPI assigned
- Mar 10, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240924001415 | MN | Practitioner - Clinical Social Worker | 4880065515 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21178 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeway Recovery LLC | Clinical | Current |
Accepting new patients |
| Cloud Home Health Care Services LLC | Current |
Accepting new patients |
Locations
22 Wilson Ave NE
Ste 204
Saint Cloud, MN 56304
Phone (317) 801-4115
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 21178 | MD | Yes |
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
Other providers in Towson, MD
- Alexandra Antonopoulou LLC
- Patricia Louise Alfin
- Damon Alford
- Alhassan Khalid Hassan Alhasson
- Feruz Ali
- Alicia a Cool MD PA
- Moona Alidoost
- Mahmood Alikhan
- All Good Mental Health
- Lucy Catherine Allan
All providers in Towson, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.