Andrew Leonard Wald, LCSWC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2684 Issued in MD

Practice address

3110 Brooklawn Ter Ste 200
Chevy Chase, MD 20815-3942

Phone

(301) 675-9980

Fax

(301) 657-2814

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2015 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Anne C. Mazonson, MD,LLC

  • Psychiatry Physician
  • Bethesda, MD
  • NPI 1427229434
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1194845941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 BROOKLAWN TER",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208153942",
            "telephone_number": "301-675-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 BROOKLAWN TER STE 200",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208153942",
            "telephone_number": "301-675-9980",
            "fax_number": "301-657-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALD",
        "first_name": "ANDREW",
        "middle_name": "LEONARD",
        "name_prefix": "Mr.",
        "credential": "LCSWC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "02864",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "2684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK",
            "identifier": "02864",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vivian Fraga, M.D. OB/GYN LLC
• Pamela Vranis, DDS
• Damira Vulas, M.D.
• Brittney Achelle Wagner
• Rebecca Wagner, PTA
• Sonya Wali, DPM
• Ashley Walker-Smith, APRN
• Robert Edward Walker, MD
• Alicia Jacqueline Wallace
• Godiza Marie Wallace

• Clinical Social Worker in Chevy Chase, MD
• Providers in Chevy Chase, 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 Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.