Individual provider Active NPI

Sherrie Mansfield Vavrichek, LCSW-C

  • Clinical Social Worker
  • Silver Spring, MD
National Provider Identifier
1043429194
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
02770 Issued in MD
Practice address
11227 Lockwood Dr
Silver Spring, MD 20901-4562
Phone
(301) 593-4040
Fax
(301) 593-9148
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 02770 MD Primary

Addresses

Primary practice location

11227 Lockwood Dr
Silver Spring, MD 20901-4562

Mailing address

609 Cobblestone CT
Silver Spring, MD 20905-5806
Phone (301) 989-1399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2013 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
02770MDMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Therapy Center of Greater Washington, P.a. Past Accepting new patients

Organizations & group practices 1

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043429194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 COBBLESTONE CT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209055806",
            "telephone_number": "301-989-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11227 LOCKWOOD DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014562",
            "telephone_number": "301-593-4040",
            "fax_number": "301-593-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAVRICHEK",
        "first_name": "SHERRIE",
        "middle_name": "MANSFIELD",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "02770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.