Active NPI
Jeffrey Eric Riebman
- Clinical Social Worker
- Silver Spring, MD
National Provider Identifier
1295921575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10774
- Practice address
- 912 Thayer Ave
Suite 209
Silver Spring, MD 20910-4570 - Phone
- (301) 509-1581
- Fax
- (301) 649-5403
- NPI assigned
- Sep 19, 2007
- 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 | 10774 | MD | Primary |
Addresses
Primary practice location
912 Thayer Ave
Suite 209
Silver Spring, MD 20910-4570
Mailing address
810 Hyde CT
Silver Spring, MD 20902-3042
Phone (301) 509-1581
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10774 | Other | MD | DEPT HEALTH&MENTAL HYG. |
Other names 1
- Mr. Jeffrey E. Riebman
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10774 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190160000000",
"number": "1295921575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 HYDE CT",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209023042",
"telephone_number": "301-509-1581",
"fax_number": "301-649-5403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 THAYER AVE",
"address_2": "SUITE 209",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209104570",
"telephone_number": "301-509-1581",
"fax_number": "301-649-5403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIEBMAN",
"first_name": "JEFFREY",
"middle_name": "ERIC",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-19",
"last_updated": "2007-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "10774",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT HEALTH&MENTAL HYG.",
"identifier": "10774",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JEFFREY",
"last_name": "RIEBMAN",
"middle_name": "E.",
"prefix": "MR.",
"credential": "LCSW-C",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.