Active NPI
Elizabeth Ressler, LCSW-C
- Clinical Social Worker
- Gaithersburg, MD
National Provider Identifier
1285946731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16121
- Practice address
- 610 E Diamond Ave
Suite 100a
Gaithersburg, MD 20877-5321 - Phone
- (301) 840-3200
- Fax
- (301) 840-1348
- NPI assigned
- Jul 12, 2010
- Last updated
- Sep 14, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 16121 | MD | Primary |
Addresses
Primary practice location
610 E Diamond Ave
Suite 100a
Gaithersburg, MD 20877-5321
Mailing address
8967 Yellow Brick Rd
Rosedale, MD 21237
Phone (410) 780-5203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 816700100 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16121 | MD | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505347200000",
"number": "1285946731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8967 YELLOW BRICK RD",
"city": "ROSEDALE",
"state": "MD",
"postal_code": "21237",
"telephone_number": "410-780-5203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 E DIAMOND AVE",
"address_2": "SUITE 100A",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208775321",
"telephone_number": "301-840-3200",
"fax_number": "301-840-1348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESSLER",
"first_name": "ELIZABETH",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-12",
"last_updated": "2017-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "16121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "816700100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.