Individual provider Active NPI

Barbara Jo Sadauski

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1922017979
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
02789 Issued in MD
Practice address
611 S Charles St FL 4
Baltimore, MD 21230-3801
Phone
(410) 328-2293
Fax
(410) 328-5895
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 02789 MD Primary

Addresses

Primary practice location

611 S Charles St FL 4
Baltimore, MD 21230-3801

Mailing address

PO Box 64277
Baltimore, MD 21264-4277
Phone (410) 328-7037

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221121001759 MD Practitioner - Clinical Social Worker 5991173064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Group Faculty Practice LLCGroup PAC ID 5799671533, 6 clinicians

Practice addresses (Care Compare)

419 W Redwood St
Suite 570
Baltimore, MD 21201-7023
Phone (667) 214-1909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02789MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Group Faculty Practice LLC CurrentSince Sep 1, 2022 Accepting new patients
University of Maryland Psychiatry Associates, PA Past Accepting new patients

Locations

419 W Redwood St
Ste 570
Baltimore, MD 21201
Phone (410) 328-6106

3355 Saint Johns Ln
Ste J
Ellicott City, MD 21042
Phone (410) 324-3883

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922017979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64277",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644277",
            "telephone_number": "410-328-7037",
            "fax_number": "410-328-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S CHARLES ST FL 4",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303801",
            "telephone_number": "410-328-2293",
            "fax_number": "410-328-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADAUSKI",
        "first_name": "BARBARA",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "02789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.