Sshewchuk88

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11612 Issued in MD

Legal business name

SSHEWCHUK88

Practice address

7910 Woodmont Ave
Suite 460
Bethesda, MD 20814-3002

Phone

(301) 656-9520

Fax

(301) 718-3633

NPI assigned

Oct 7, 2010

Organization subpart

No

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

Authorized official

Name

Susan Shewchuk, MSW

Title

LCSW-C

Phone

(301) 656-9520

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1184934242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 WOODMONT AVE",
            "address_2": "SUITE 460",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143002",
            "telephone_number": "301-656-9520",
            "fax_number": "301-718-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 WOODMONT AVE",
            "address_2": "SUITE 460",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143002",
            "telephone_number": "301-656-9520",
            "fax_number": "301-718-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSHEWCHUK88",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "SHEWCHUK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "LCSW-C",
        "authorized_official_telephone_number": "301-656-9520",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE NUMBER",
            "identifier": "11612",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara A. Squiller, RN, CRNP
• Sara Squires, DPT
• Ramaprasad Srinivasan, M.D.
• Sriraman Ram Srinivasan, MD
• SSC Bethesda Operating Company LLC
• Sshewchuk88
• Alexis St Claire, MD
• Laura Marie St. Martin, MD
• Kristen Ashley Staats, M.S. CCC-SLP
• Stacey Erd, LLC

• Clinical Social Worker in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.