Individual provider Active NPI

Emily Carlson Eckstein, LCSW-C, LCSW, PMH-C

  • Clinical Social Worker
  • Rockville, MD
National Provider Identifier
1043766553
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18894 Issued in MD
Practice address
14915 Broschart Rd
Rockville, MD 20850-3350
Phone
(301) 838-4912
NPI assigned
Aug 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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 18894 MD Primary

Addresses

Primary practice location

14915 Broschart Rd
Rockville, MD 20850-3350

Mailing address

12824 Grand Elm St
Clarksburg, MD 20871-4392
Phone (703) 867-6939

Other practice location 1

18 Executive Park Ct
Germantown, MD 20874-2645
Phone (301) 428-3557

Other names 1

  • Emily Faye Carlson Former name

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
I20170105000646 DC Practitioner - Clinical Social Worker 3173804127 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Maryland School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Physician Services IncGroup PAC ID 4284631540, 144 clinicians

Practice addresses (Care Compare)

14915 Broschart Rd
Suite 2200
Rockville, MD 20850-3350
Phone (301) 838-4912

9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (301) 279-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18894MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Jan 26, 2026 Accepting new patients
Adventist Physician Services, Inc. CurrentSince Jan 19, 2025 Accepting new patients
Inova Health Care Services CurrentSince Jan 26, 2026 Accepting new patients

Locations

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

820 W Diamond Ave
Gaithersburg, MD 20878
Phone (301) 315-3030

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

14915 Broschart Rd
Rockville, MD 20850
Phone (301) 251-7897

8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1043766553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12824 GRAND ELM ST",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208714392",
            "telephone_number": "703-867-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14915 BROSCHART RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503350",
            "telephone_number": "301-838-4912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Executive Park Ct",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208742645",
            "country_code": "US",
            "telephone_number": "301-428-3557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECKSTEIN",
        "first_name": "EMILY",
        "middle_name": "CARLSON",
        "credential": "LCSW-C, LCSW, PMH-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "CARLSON",
            "middle_name": "FAYE",
            "credential": "MSW, LCSW-C, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.