NPIMap

Organization Active NPI

Suburban Hospital

  • Clinical Social Worker
  • Rockville, MD
National Provider Identifier
1407260763
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13431 Issued in MD
Legal business name
SUBURBAN HOSPITAL
Practice address
6001 Montrose Rd
Rockville, MD 20852-4817
Phone
(301) 896-6616
Fax
(301) 881-7428
NPI assigned
Jun 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Barbara Kane-Davidson, LCPC
Title
Director
Phone
(301) 896-6608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 13431 MD Primary

Addresses

Primary practice location

6001 Montrose Rd
Rockville, MD 20852-4817

Mailing address

6001 Montrose Rd
Rockville, MD 20852-4817
Phone (301) 896-6616

Other identifiers 1

IdentifierTypeStateIssuer
13431OtherMDSTATE OF MD LICENSED CERTIFIED SOCIAL WORKER

National Provider Directory

National Provider Directory
Tax ID family
Pulm Dis Suburban Hosp4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1407260763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 MONTROSE RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524817",
            "telephone_number": "301-896-6616",
            "fax_number": "301-881-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 MONTROSE RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524817",
            "telephone_number": "301-896-6616",
            "fax_number": "301-881-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "KANE-DAVIDSON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-896-6608",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MD LICENSED CERTIFIED SOCIAL WORKER",
            "identifier": "13431",
            "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 Jun 16, 2014; 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.