Individual provider Active NPI

Silvia Leydi Fuentes Vasquez, LCSW-C

  • Clinical Social Worker
  • Aspen Hill, MD
National Provider Identifier
1306496781
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25388 Issued in MD
Practice address
13415 Connecticut Ave Ste 100
Aspen Hill, MD 20906-2910
Phone
(301) 557-2152
Fax
(301) 557-2141
NPI assigned
Sep 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 25388 MD
Clinical Social Worker 1041C0700X 25388 MD Primary

Addresses

Primary practice location

13415 Connecticut Ave Ste 100
Aspen Hill, MD 20906-2910

Mailing address

13415 Connecticut Ave Ste 100
Aspen Hill, MD 20906-2910
Phone (301) 557-2152

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
25388MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1306496781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13415 CONNECTICUT AVE STE 100",
            "city": "ASPEN HILL",
            "state": "MD",
            "postal_code": "209062910",
            "telephone_number": "301-557-2152",
            "fax_number": "301-557-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13415 CONNECTICUT AVE STE 100",
            "city": "ASPEN HILL",
            "state": "MD",
            "postal_code": "209062910",
            "telephone_number": "301-557-2152",
            "fax_number": "301-557-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES VASQUEZ",
        "first_name": "SILVIA",
        "middle_name": "LEYDI",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "25388",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "25388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aspen Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.