Organization Active NPI

Ephross and Weiss LCSW PA

  • Clinical Social Worker
  • Rockville, MD
National Provider Identifier
1316082217
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00163 Issued in MD
Legal business name
EPHROSS AND WEISS LCSW PA
Practice address
14912 Clavel St
Rockville, MD 20853-1545
Phone
(301) 460-4457
Fax
(301) 460-7666
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Paul H Ephross, MSW PHD
Title
President
Phone
(301) 460-4457

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 00163 MD Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 03990 MD

Addresses

Primary practice location

14912 Clavel St
Rockville, MD 20853-1545

Mailing address

14912 Clavel St
Rockville, MD 20853-1545
Phone (301) 460-4457

Other identifiers 1

IdentifierTypeStateIssuer
19721900MedicaidMD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316082217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14912 CLAVEL ST",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208531545",
            "telephone_number": "301-460-4457",
            "fax_number": "301-460-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14912 CLAVEL ST",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208531545",
            "telephone_number": "301-460-4457",
            "fax_number": "301-460-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPHROSS AND WEISS LCSW PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EPHROSS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-460-4457",
        "authorized_official_credential": "MSW PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "00163",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "03990",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19721900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.