Individual provider Active NPI

Elizabeth Sarah Junker, LCSW-C

  • Clinical Social Worker
  • North Bethesda, MD
National Provider Identifier
1417620477
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27465 Issued in MD
Practice address
6264 Montrose Rd
North Bethesda, MD 20852-4119
Phone
(240) 242-3600
NPI assigned
Jul 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 27465 MD Primary

Addresses

Primary practice location

6264 Montrose Rd
North Bethesda, MD 20852-4119

Mailing address

1111B S Governors Ave Unit 2788
Dover, DE 19904-6903
Phone (240) 671-0250

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

LicenseStateTypeSpecialty
27465MDMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspectrum, LLC Clinical Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1417620477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111B S GOVERNORS AVE UNIT 2788",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046903",
            "telephone_number": "240-671-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6264 MONTROSE RD",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208524119",
            "telephone_number": "240-242-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNKER",
        "first_name": "ELIZABETH",
        "middle_name": "SARAH",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "27465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.