Active NPI
Reese Mordechai Hebrank, LCSW-C
- Social Worker
- Waldorf, MD
National Provider Identifier
1356830764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 23423
- Practice address
- 601 Post Office Rd Ste 2D
Waldorf, MD 20602-1912 - Phone
- (301) 910-9945
- NPI assigned
- May 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 23423 | MD | Primary |
Addresses
Primary practice location
601 Post Office Rd Ste 2D
Waldorf, MD 20602-1912
Mailing address
2006 Amber Leaf PL Apt T5
Waldorf, MD 20602-2158
Phone (240) 249-5891
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23423 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1356830764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 AMBER LEAF PL APT T5",
"city": "WALDORF",
"state": "MD",
"postal_code": "206022158",
"telephone_number": "240-249-5891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 POST OFFICE RD STE 2D",
"city": "WALDORF",
"state": "MD",
"postal_code": "206021912",
"telephone_number": "301-910-9945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEBRANK",
"first_name": "REESE",
"middle_name": "MORDECHAI",
"name_prefix": "Mr.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-02",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "MD",
"license": "23423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.