Active NPI
Sandra Kerrigan, LGSW
- Social Worker
- Berlin, MD
National Provider Identifier
1922248194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 14278
- Practice address
- 9730 Healthway Drive
Worcester Co. Health Dept - Berlin Health Center
Berlin, MD 21811 - Phone
- (410) 629-0164
- Fax
- (410) 629-0185
- NPI assigned
- Mar 2, 2009
- Last updated
- Mar 2, 2009
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 14278 | MD | Primary |
Addresses
Primary practice location
9730 Healthway Drive
Worcester Co. Health Dept - Berlin Health Center
Berlin, MD 21811
Mailing address
13326 Delaware Rd
Bishopville, MD 21813-1188
Phone (443) 614-0099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 705371101 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14278 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235952000000",
"number": "1922248194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13326 DELAWARE RD",
"city": "BISHOPVILLE",
"state": "MD",
"postal_code": "218131188",
"telephone_number": "443-614-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9730 HEALTHWAY DRIVE",
"address_2": "WORCESTER CO. HEALTH DEPT - BERLIN HEALTH CENTER",
"city": "BERLIN",
"state": "MD",
"postal_code": "21811",
"telephone_number": "410-629-0164",
"fax_number": "410-629-0185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERRIGAN",
"first_name": "SANDRA",
"credential": "LGSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-02",
"last_updated": "2009-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "14278",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "705371101",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Berlin, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.