Active NPI
Mary Eccles, PHD, MSW
- Clinical Social Worker
- Chevy Chase, MD
National Provider Identifier
1033385752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC50078542
- Practice address
- 3407 Raymond St
Chevy Chase, MD 20815-3229 - Phone
- (301) 907-0914
- NPI assigned
- May 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC50078542 | DC | Primary |
Addresses
Primary practice location
3407 Raymond St
Chevy Chase, MD 20815-3229
Mailing address
3407 Raymond St
Chevy Chase, MD 20815-3229
Phone (301) 907-0914
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC50078542 | DC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209686400000",
"number": "1033385752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3407 RAYMOND ST",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208153229",
"telephone_number": "301-907-0914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3407 RAYMOND ST",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208153229",
"telephone_number": "301-907-0914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECCLES",
"first_name": "MARY",
"credential": "PHD, MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-02",
"last_updated": "2008-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50078542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.