Individual provider Active NPI

Jeffrey Eric Riebman

  • Clinical Social Worker
  • Silver Spring, MD
National Provider Identifier
1295921575
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10774 Issued in MD
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

Updated by the provider on Sep 19, 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 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

IdentifierTypeStateIssuer
10774OtherMDDEPT HEALTH&MENTAL HYG.

Other names 1

  • Mr. Jeffrey E. Riebman Professional name

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

LicenseStateTypeSpecialty
10774MDMDClinical 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.

Verify at the official NPI Registry.