Individual provider Active NPI

Sandra Boysen Millner, LCSW-C

  • Clinical Social Worker
  • Rosedale, MD
National Provider Identifier
1922283514
Registry record updated Sep 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
07387 Issued in MD
Practice address
8967 Yellow Brick Rd
Rosedale, MD 21237-2303
Phone
(410) 780-5203
NPI assigned
Jan 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2021

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 07387 MD Primary

Addresses

Primary practice location

8967 Yellow Brick Rd
Rosedale, MD 21237-2303

Mailing address

92 Irish Dr
New Oxford, PA 17350-9268
Phone (443) 617-6854

Other practice location 1

92 Irish Dr
New Oxford, PA 17350-9268
Phone (443) 617-6854

Other identifiers 1

IdentifierTypeStateIssuer
406755000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, PA, VA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180215002454 DC Practitioner - Clinical Social Worker 7416217245 Reassigns benefits to 1 organization
I20180215002622 MD Practitioner - Clinical Social Worker 7416217245 Reassigns benefits to 1 organization
I20200122001027 PA Practitioner - Clinical Social Worker 7416217245 Reassigns benefits to 1 organization
I20231030000469 VA Practitioner - Clinical Social Worker 7416217245 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07387MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Turtle Cove Counseling, LLC Clinical CurrentSince Sep 28, 2021 Accepting new patients
Psychogeriatric Services LLC Clinical CurrentSince Dec 8, 2019 Accepting new patients

Locations

4101 Old National Pike
Mount Airy, MD 21771
Phone (301) 829-0800

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

595 Biglerville Rd
Gettysburg, PA 17325
Phone (717) 334-6249

146 E King St
Lancaster, PA 17602
Phone (302) 990-2323

8575 Rixlew Ln
Manassas, VA 20109
Phone (703) 257-9770

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": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632009600000",
    "number": "1922283514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 IRISH DR",
            "city": "NEW OXFORD",
            "state": "PA",
            "postal_code": "173509268",
            "telephone_number": "443-617-6854",
            "fax_number": "717-479-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8967 YELLOW BRICK RD",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212372303",
            "telephone_number": "410-780-5203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "92 Irish Dr",
            "address_purpose": "LOCATION",
            "city": "New Oxford",
            "state": "PA",
            "postal_code": "173509268",
            "country_code": "US",
            "telephone_number": "443-617-6854",
            "fax_number": "717-479-5571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLNER",
        "first_name": "SANDRA",
        "middle_name": "BOYSEN",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2021-09-19",
        "certification_date": "2021-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "07387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406755000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

Verify at the official NPI Registry.