Individual provider Active NPI

Paula R Sponaugle, LCSW-C

  • Clinical Social Worker
  • Olney, MD
National Provider Identifier
1972787802
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05862 Issued in MD
Practice address
3416 Olandwood CT Ste 201
Olney, MD 20832-1373
Phone
(240) 277-1637
NPI assigned
Dec 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 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 05862 MD Primary

Addresses

Primary practice location

3416 Olandwood CT Ste 201
Olney, MD 20832-1373

Mailing address

3416 Olandwood CT Ste 201
Olney, MD 20832-1373
Phone (240) 277-1637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20240924002037 DC Practitioner - Clinical Social Worker 5395286835 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05862MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County Maryland Government Current Accepting new patients
Montgomery County Maryland Government CurrentSince Jul 13, 2024 Accepting new patients
Montgomery County Maryland Government CurrentSince Jul 13, 2024 Accepting new patients

Locations

401 Hungerford Dr
Ste 500
Rockville, MD 20850
Phone (301) 217-1345

401 Hungerford Dr
Fl 6
Rockville, MD 20850

1301 Piccard Dr
Rockville, MD 20850
Phone (240) 777-4000

Interoperability endpoints

  • Direct secure messaging: paula.sponaugle.p3@direct.mcg-hhs.nextgenshare.com
  • Direct secure messaging: paula.sponaugle.p1@direct.mcg-hhs.nextgenshare.com

Organizations & group practices 3

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": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1972787802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 OLANDWOOD CT STE 201",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321373",
            "telephone_number": "240-277-1637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 OLANDWOOD CT STE 201",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321373",
            "telephone_number": "240-277-1637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPONAUGLE",
        "first_name": "PAULA",
        "middle_name": "R",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "05862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

Verify at the official NPI Registry.