Individual provider Active NPI

Rebecca Miriam Granatstein, LCSWC

  • Social Worker
  • Silver Spring, MD
National Provider Identifier
1194841775
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
06651 Issued in MD
Practice address
13508 Rippling Brook Dr
Silver Spring, MD 20906
Phone
(301) 587-9491
NPI assigned
Mar 22, 2007
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 06651 MD Primary
Social Worker 104100000X

Addresses

Primary practice location

13508 Rippling Brook Dr
Silver Spring, MD 20906

Mailing address

215 Baden St
Silver Spring, MD 20901
Phone (301) 587-9491

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
I20221027001714 DC Practitioner - Clinical Social Worker 2567620131 Practice locations: Silver Spring, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13508 Rippling Brook Dr
Silver Spring, MD 20906-3177
Phone (301) 379-8983

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194841775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 BADEN ST",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20901",
            "telephone_number": "301-587-9491",
            "fax_number": "301-587-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13508 RIPPLING BROOK DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20906",
            "telephone_number": "301-587-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANATSTEIN",
        "first_name": "REBECCA",
        "middle_name": "MIRIAM",
        "name_prefix": "Ms.",
        "credential": "LCSWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "06651",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.