Individual provider Active NPI

Sirah I Ali, MSW

  • Clinical Social Worker
  • Towson, MD
National Provider Identifier
1861950784
Registry record updated Mar 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21178 Issued in MD
Practice address
1055 Taylor Ave Ste 203
Towson, MD 21286-8333
Phone
(240) 907-1447
NPI assigned
Mar 10, 2019
Last updated
Mar 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240924001415 MN Practitioner - Clinical Social Worker 4880065515 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21178MDMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cloud Home Health Care Services LLC CurrentSince Jul 1, 2024 Accepting new patients
Bridgeway Recovery LLC Clinical CurrentSince Jan 21, 2024 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.

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

Verify at the official NPI Registry.