Individual provider Active NPI

Masiel Stephenson

  • Clinical Social Worker
  • Rockville, MD
National Provider Identifier
1184036238
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16465 Issued in MD
Practice address
1301 Piccard Dr
Suite 1400
Rockville, MD 20850-4320
Phone
(240) 777-4289
NPI assigned
May 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2014

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 16465 MD Primary

Addresses

Primary practice location

1301 Piccard Dr
Suite 1400
Rockville, MD 20850-4320

Mailing address

1301 Piccard Dr
Suite 1400
Rockville, MD 20850-4320

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
I20181114000542 DC Practitioner - Clinical Social Worker 8022362896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

401 Hungerford Dr
Rockville, MD 20850-4154
Phone (301) 217-1345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16465MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County Maryland Government CurrentSince Oct 1, 2018 Accepting new patients
Montgomery County Maryland Government Current Accepting new patients
Montgomery County Maryland Government CurrentSince Oct 1, 2018 Accepting new patients

Locations

401 Hungerford Dr
Ste 500
Rockville, MD 20850
Phone (301) 217-1345

1301 Piccard Dr
Ste 1400
Rockville, MD 20850
Phone (240) 777-4289

401 Hungerford Dr
Fl 6
Rockville, MD 20850

Interoperability endpoints

  • Direct secure messaging: masiel.stephenson.p1@direct.mcg-hhs.nextgenshare.com

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": "1400803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400803200000",
    "number": "1184036238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PICCARD DR",
            "address_2": "SUITE 1400",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PICCARD DR",
            "address_2": "SUITE 1400",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504320",
            "telephone_number": "240-777-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "MASIEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-23",
        "last_updated": "2014-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.