Ethel Doris Sayles

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

24201 Issued in MD

Practice address

6500 Seven Locks Rd Ste 206
Cabin John, MD 20818-1300

Phone

(301) 514-6920

NPI assigned

Oct 17, 2023

Last updated

Oct 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1104608819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 SEVEN LOCKS RD STE 206",
            "city": "CABIN JOHN",
            "state": "MD",
            "postal_code": "208181300",
            "telephone_number": "301-514-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 SEVEN LOCKS RD STE 206",
            "city": "CABIN JOHN",
            "state": "MD",
            "postal_code": "208181300",
            "telephone_number": "301-514-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYLES",
        "first_name": "ETHEL",
        "middle_name": "DORIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0903003534",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LG200001707",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "24201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harry Rieckelman
• Leela Deanne Rieckelman
• Lori Rieckelman, LCSW-C
• Rebecca Burkett Robison, LICSW
• Alysa Romano, LPC
• Rivon Shaneyfelt
• Barry Shapiro, LMSW
• Reiko Shingu, LCSWC
• Jan Iris Smith, LCSW,BCD
• Bruce Lee M. Tanenbaum, MD

• Clinical Social Worker in Cabin John, MD
• Providers in Cabin John, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.