Individual provider Active NPI

Mary Phillips

  • Clinical Social Worker
  • Bethesda, MD
National Provider Identifier
1023432804
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14049 Issued in MD
Practice address
8901 Wisconsin Ave
Bethesda, MD 20889-5630
Phone
(301) 295-0264
NPI assigned
Feb 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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 14049 MD Primary

Addresses

Primary practice location

8901 Wisconsin Ave
Bethesda, MD 20889-5630

Mailing address

8901 Wisconsin Ave
Bethesda, MD 20889-0004
Phone (301) 295-0264

Other practice location 1

6802 McClean Blvd
Baltimore, MD 21234-7260
Phone (410) 444-3804 ext. 1202

Other practice location 2

6802 McClean Blvd
Baltimore, MD 21234-7260
Phone (410) 444-3804 ext. 1202

Other practice location 3

9300 DeWitt Loop
Fort Belvoir, VA 22060
Phone (571) 231-2894

Other practice location 4

4954 N Palmer Rd Fl 6
Bethesda, MD 20889-5630
Phone (012) 950-2643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1023432804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890004",
            "telephone_number": "301-295-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895630",
            "telephone_number": "301-295-0264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6802 McClean Blvd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212347260",
            "country_code": "US",
            "telephone_number": "410-444-3804 x1202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6802 McClean Blvd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212347260",
            "country_code": "US",
            "telephone_number": "410-444-3804 x1202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9300 DeWitt Loop",
            "address_purpose": "LOCATION",
            "city": "Fort Belvoir",
            "state": "VA",
            "postal_code": "22060",
            "country_code": "US",
            "telephone_number": "571-231-2894",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4954 N Palmer Rd Fl 6",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208895630",
            "country_code": "US",
            "telephone_number": "012-950-2643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-13",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.