Organization Active NPI

Rivka Sidorsky, LLC

  • Clinical Social Worker
  • Silver Spring, MD
National Provider Identifier
1417370446
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16216 Issued in MD
Legal business name
RIVKA SIDORSKY, LLC
Practice address
8555 16TH St Ste 204
Silver Spring, MD 20910-2854
Phone
(301) 244-8052
NPI assigned
Jan 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Authorized official

Name
Mrs. Mieke Rivka Sidorsky, LCSW-C
Title
Owner
Phone
(301) 244-8052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 16216 MD Primary

Addresses

Primary practice location

8555 16TH St Ste 204
Silver Spring, MD 20910-2854

Mailing address

8555 16TH St Ste 204
Silver Spring, MD 20910-2854
Phone (301) 244-8052

National Provider Directory

National Provider Directory

Locations

8555 16th St
Ste 204
Silver Spring, MD 20910
Phone (301) 244-8052

NPI Registry JSON

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1417370446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8555 16TH ST STE 204",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102854",
            "telephone_number": "301-244-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8555 16TH ST STE 204",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102854",
            "telephone_number": "301-244-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVKA SIDORSKY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "SIDORSKY",
        "authorized_official_first_name": "MIEKE",
        "authorized_official_middle_name": "RIVKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-244-8052",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16216",
            "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 Jan 8, 2021; 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.