Miriam Weisberg, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904004390 Issued in VA

Practice address

1499 Chain Bridge Rd
Suite 200
McLean, VA 22101-5704

Phone

(703) 298-0631

Fax

(703) 790-0245

NPI assigned

Feb 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2018 through Apr 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366580987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 CHAIN BRIDGE RD",
            "address_2": "SUITE 200",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221015704",
            "telephone_number": "703-298-0631",
            "fax_number": "703-790-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 CHAIN BRIDGE RD",
            "address_2": "SUITE 200",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221015704",
            "telephone_number": "703-298-0631",
            "fax_number": "703-790-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBERG",
        "first_name": "MIRIAM",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "60000001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Washington Center for Cosmetic Eyelid Surgery, LLC
• Kenneth W Waters, MD
• Naoji Andrew Watson, PSY.D.
• Jennifer Layden Weaver, LCSW, LCSW-C, RPT
• Eve G. Weber, PH.D.
• Sharon K Weiss, M.ED.
• Wendy Weil, Physical Therapy, LLC
• Catherine C Whitledge, LCSW
• Megan Williams, OTR/L
• Lourie W. Wilson, LPC

• Clinical Social Worker in McLean, VA
• Providers in McLean, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.