Active NPI
Jeffrey Becker, LCSW-C
- Clinical Social Worker
- Silver Spring, MD
National Provider Identifier
1386791648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 05458
- Practice address
- 11501 Georgia Ave Ste 407
Silver Spring, MD 20902-1955 - Phone
- (240) 281-4669
- Fax
- (240) 314-1049
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 05458 | MD | Primary |
Addresses
Primary practice location
11501 Georgia Ave Ste 407
Silver Spring, MD 20902-1955
Mailing address
1939 Flowering Tree Ter
Silver Spring, MD 20902-5802
Phone (301) 593-6632
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 |
|---|---|---|---|
| 05458 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286496000000",
"number": "1386791648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1939 FLOWERING TREE TER",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209025802",
"telephone_number": "301-593-6632",
"fax_number": "301-929-3305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11501 GEORGIA AVE STE 407",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209021955",
"telephone_number": "240-281-4669",
"fax_number": "240-314-1049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "JEFFREY",
"name_prefix": "Mr.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2010-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "05458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.