Active NPI
Rivka Sidorsky, LLC
- Clinical Social Worker
- Silver Spring, MD
National Provider Identifier
1417370446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16216
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.