Corley Ann Sibold

Primary specialty

Social WorkerTaxonomy code 104100000X

License

33085 Issued in MD

Practice address

4717 River Rd
Bethesda, MD 20816-3034

Phone

(706) 332-7996

NPI assigned

Jun 24, 2025

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 24, 2025.

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1356239057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 RIVER RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208163034",
            "telephone_number": "706-332-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 RIVER RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208163034",
            "telephone_number": "706-332-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBOLD",
        "first_name": "CORLEY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "33085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Lynn Shumate, MSN, APRN, FNP-C
• Rodney Scott Shumate, PSY.D
• Tyler Shumway, DDS
• Sibley-Suburban Home Health Agency Inc
• Christopher Tate Sibley, MD
• Michael Carreon Sibulo, M.D.
• Maureen Siburt
• Micah Sickel, M.D., PH.D.
• Sophia Siddiqui, MD
• Craig Sidol, PH.D.

• All providers in Bethesda, MD
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.