Individual provider Active NPI

Carol J. Heil, LCSW-C

  • Clinical Social Worker
  • Silver Spring, MD
National Provider Identifier
1316069784
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4870 Issued in MD
Practice address
8811 Colesville Rd
Suite #106
Silver Spring, MD 20910-4343
Phone
(301) 899-4841
Fax
(301) 585-7426
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 4870 MD Primary

Addresses

Primary practice location

8811 Colesville Rd
Suite #106
Silver Spring, MD 20910-4343

Mailing address

8811 Colesville Rd
Suite #106
Silver Spring, MD 20910-4343
Phone (301) 899-4841

Other names 1

  • Carol O'Brien Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040406001625 DC Practitioner - Clinical Social Worker 1658364583 Practice locations: Bethesda, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4405 E W Hwy
Suite 303
Bethesda, MD 20814-4534
Phone (301) 899-4841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4870MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316069784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 COLESVILLE RD",
            "address_2": "SUITE #106",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104343",
            "telephone_number": "301-899-4841",
            "fax_number": "301-585-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 COLESVILLE RD",
            "address_2": "SUITE #106",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104343",
            "telephone_number": "301-899-4841",
            "fax_number": "301-585-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIL",
        "first_name": "CAROL",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "4870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "O'BRIEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.