Organization Active NPI

Mira Silberg, Lcswc LLC

  • Adult Mental Health Clinic/Center
  • Rockville, MD
National Provider Identifier
1124528609
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MIRA SILBERG, LCSWC LLC
Practice address
121 Congressional LN Ste 604
Rockville, MD 20852-1562
Phone
(301) 275-1376
NPI assigned
Feb 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Authorized official

Name
Mrs. Mira Silberg, LCSWC
Title
Owner
Phone
(301) 275-1376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

121 Congressional LN Ste 604
Rockville, MD 20852-1562

Mailing address

PO Box 34804
Bethesda, MD 20827-0804
Phone (301) 275-1376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180302000144 DC Part B Supplier - Clinic/Group Practice 0648531970 Practice locations: Rockville, MD

National Provider Directory

National Provider Directory

Locations

131 Rollins Ave
Ste 1
Rockville, MD 20852
Phone (301) 275-1376

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1124528609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34804",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208270804",
            "telephone_number": "301-275-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CONGRESSIONAL LN STE 604",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521562",
            "telephone_number": "301-275-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRA SILBERG, LCSWC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "SILBERG",
        "authorized_official_first_name": "MIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-275-1376",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSWC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.