Harriet K Breslow, LCSWC
Individual provider Active NPI Social Worker · Potomac, MD
NPI 1205930518 · NPPES record last updated Jan 5, 2010
Key facts
- NPI
- 1205930518
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 02565 (MD)
- Practice address
- 8712 Harness Trail
Potomac, MD 20854 - Phone
- (301) 983-1321
- Fax
- (301) 983-4953
- NPI assigned
- Sep 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3152 Gracefield Rd
Apt 613
Silver Spring, MD 20904-0802
Phone (301) 996-1321
8712 Harness Trail
Potomac, MD 20854-2553
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100330000957 | DC | Practitioner - Clinical Social Worker | 3870629751 | Practice locations: Silver Spring, MD |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02565 | MD | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 02565 | MD | Yes |
Addresses
Primary practice location
8712 Harness Trail
Potomac, MD 20854
Mailing address
8712 Harness Trail
Potomac, MD 20854
Phone (301) 983-1321
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225-271-8000 | Medicaid | MD |
Other providers in Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.