Healthcare Provider Details

I. General information

NPI: 1013888148
Provider Name (Legal Business Name): MS. SARAH ALLISON MUSANTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11670 OLD NATIONAL PIKE STE 103
NEW MARKET MD
21774-6123
US

IV. Provider business mailing address

11670 OLD NATIONAL PIKE STE 103
NEW MARKET MD
21774-6123
US

V. Phone/Fax

Practice location:
  • Phone: 301-865-2226
  • Fax:
Mailing address:
  • Phone: 301-865-2226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number30736
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: