Active NPI
Melanie Lynne Eisner, LCSW-C, LICSW
- Clinical Social Worker
- Takoma Park, MD
National Provider Identifier
1306175617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 8102 Greenwood Ave Apt 2
Takoma Park, MD 20912-6841 - Phone
- (240) 994-0405
- Fax
- (240) 994-0405
- NPI assigned
- Dec 15, 2009
- 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 | Primary |
Addresses
Primary practice location
8102 Greenwood Ave Apt 2
Takoma Park, MD 20912-6841
Mailing address
8102 Greenwood Ave Apt 2
Takoma Park, MD 20912-6841
Phone (240) 994-0405
Other practice location 1
6001 Montrose Rd
Ste 102
Rockville, MD 20852-4817
Phone (301) 896-6613
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18291 | Other | MD | SOCIAL WORK LICENSE |
| LC50079858 | Other | DC | SOCIAL WORK LICENSE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suburban Hospital, Inc. | 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.
-
- Infusion Therapy Clinic/Center
- Bethesda, MD
- NPI 1225361751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1306175617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8102 GREENWOOD AVE APT 2",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209126841",
"telephone_number": "240-994-0405",
"fax_number": "240-994-0405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8102 GREENWOOD AVE APT 2",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209126841",
"telephone_number": "240-994-0405",
"fax_number": "240-994-0405"
}
],
"practiceLocations": [
{
"address_1": "6001 Montrose Rd",
"address_2": "STE 102",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208524817",
"country_code": "US",
"telephone_number": "301-896-6613",
"fax_number": "301-881-7428",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EISNER",
"first_name": "MELANIE",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"credential": "LCSW-C, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-15",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORK LICENSE",
"identifier": "18291",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORK LICENSE",
"identifier": "LC50079858",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.