Individual provider Active NPI

Ellen Schaefer-Salins, LCSW-C

  • Clinical Social Worker
  • Silver Spring, MD
National Provider Identifier
1295816908
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05623 Issued in MD
Practice address
8720 Georgia Ave
Suite 308
Silver Spring, MD 20910-3638
Phone
(301) 384-3631
Fax
(301) 495-6394
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
Yes

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 05623 MD Primary

Addresses

Primary practice location

8720 Georgia Ave
Suite 308
Silver Spring, MD 20910-3638

Mailing address

8720 Georgia Ave
Suite 308
Silver Spring, MD 20910-3638
Phone (301) 384-3631

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
I20090312000451 DC Practitioner - Clinical Social Worker 1355407578 Practice locations: Silver Spring, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14805 Harold Rd
Silver Spring, MD 20905-5546
Phone (240) 505-3631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05623MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Judith Lynn Mounty LCSW LLC Clinical Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295816908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 GEORGIA AVE",
            "address_2": "SUITE 308",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103638",
            "telephone_number": "301-384-3631",
            "fax_number": "301-495-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 GEORGIA AVE",
            "address_2": "SUITE 308",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103638",
            "telephone_number": "301-384-3631",
            "fax_number": "301-495-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER-SALINS",
        "first_name": "ELLEN",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "05623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.