Active NPI
Mira Silberg, Lcswc LLC
- Adult Mental Health Clinic/Center
- Rockville, MD
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
- Last updated
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Rockville, MD
- NPI 1942241906
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.