Sshewchuk88

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11612 Issued in MD

Legal business name

SSHEWCHUK88

Practice address

4828 West LN
Suite B
Bethesda, MD 20814-6338

Phone

(240) 778-9384

Fax

(240) 778-9384

NPI assigned

Oct 25, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Shewchuk, LCSW-C

Title

Social Worker

Phone

(240) 778-9384

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1306398334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4828 WEST LN",
            "address_2": "SUITE B",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146338",
            "telephone_number": "240-778-9384",
            "fax_number": "240-778-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4828 WEST LN",
            "address_2": "SUITE B",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146338",
            "telephone_number": "240-778-9384",
            "fax_number": "240-778-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSHEWCHUK88",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "SHEWCHUK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "240-778-9384",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "11612",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Squires, DPT
• Ramaprasad Srinivasan, M.D.
• Sriraman Ram Srinivasan, MD
• SSC Bethesda Operating Company LLC
• Sshewchuk88
• Alexis St Claire, MD
• Laura Marie St. Martin, MD
• Kristen Ashley Staats, M.S. CCC-SLP
• Stacey Erd, LLC
• Michael Stadter, PH.D.

• Clinical Social Worker in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.