Individual provider Active NPI

Wendy Gail Ominsky, L.C.S.W.-C.

  • Clinical Social Worker
  • Gaithersburg, MD
National Provider Identifier
1144230137
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
07999 Issued in MD
Practice address
9055 Shady Grove CT
Gaithersburg, MD 20877-1301
Phone
(301) 330-0400
Fax
(301) 948-4333
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 07999 MD Primary

Addresses

Primary practice location

9055 Shady Grove CT
Gaithersburg, MD 20877-1301

Mailing address

9055 Shady Grove CT
Gaithersburg, MD 20877-1301
Phone (301) 330-0400

Other identifiers 3

IdentifierTypeStateIssuer
28557-3128982OtherMDMAMSI/OC/MDIPA
23070015OtherDCBLUE CROSS BLUE SHIELD DC
521547086-2138928OtherMDCIGNA

Other names 1

  • Wendy Gail Leibowitz 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
I20150625000441 DC Practitioner - Clinical Social Worker 0042386682 Practice locations: Olney, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2907 Olney Sandy Spring Rd a
Olney, MD 20832-3510
Phone (301) 404-6141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Creek Foundation PastSince Jul 3, 2022 Accepting new patients
Affiliated Sante Group Past Accepting new patients
Wendy Leibowitz LCSW-C Clinical PastSince May 1, 2013 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144230137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9055 SHADY GROVE CT",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771301",
            "telephone_number": "301-330-0400",
            "fax_number": "301-948-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 SHADY GROVE CT",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771301",
            "telephone_number": "301-330-0400",
            "fax_number": "301-948-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMINSKY",
        "first_name": "WENDY",
        "middle_name": "GAIL",
        "credential": "L.C.S.W.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "07999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI/OC/MDIPA",
            "identifier": "28557-3128982",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD DC",
            "identifier": "23070015",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "521547086-2138928",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "LEIBOWITZ",
            "middle_name": "GAIL",
            "credential": "L.C.S.W.-C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.