Active NPI
Mira Silberg, Lcswc LLC
- Adult Mental Health Clinic/Center
- Rockville, MD
National Provider Identifier
1124528609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180302000144 | DC | Part B Supplier - Clinic/Group Practice | 0648531970 | Practice locations: Rockville, MD |
National Provider Directory
National Provider DirectoryLocations
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.