Active NPI
Andrew Paul Darby, LCSW-C
- Clinical Social Worker
- Gaithersburg, MD
National Provider Identifier
1225580202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19434
- Practice address
- 15932 Shady Grove Rd Unit B
Gaithersburg, MD 20877-1314 - Phone
- (301) 509-1153
- NPI assigned
- Oct 26, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 19434 | MD | Primary |
Addresses
Primary practice location
15932 Shady Grove Rd Unit B
Gaithersburg, MD 20877-1314
Mailing address
9900 Georgia Ave Apt 706
Silver Spring, MD 20902-5243
Phone (301) 509-1153
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 6, 2021 through Oct 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19434 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477440000000",
"number": "1225580202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 GEORGIA AVE APT 706",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209025243",
"telephone_number": "301-509-1153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15932 SHADY GROVE RD UNIT B",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208771314",
"telephone_number": "301-509-1153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARBY",
"first_name": "ANDREW",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-26",
"last_updated": "2016-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "19434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.