Individual provider Active NPI

Judith Lynn Mounty, ED.D., MSW, LCSW-C

  • Clinical Social Worker
  • Silver Spring, MD
National Provider Identifier
1427296953
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14587 Issued in MD
Practice address
8720 Georgia Ave
Suite 308
Silver Spring, MD 20910-3638
Phone
(301) 495-6393
Fax
(301) 495-6394
NPI assigned
Jan 21, 2009
Last updated
Jan 21, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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 14587 MD Primary

Addresses

Primary practice location

8720 Georgia Ave
Suite 308
Silver Spring, MD 20910-3638

Mailing address

508 Lincoln Ave
Takoma Park, MD 20912-5802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090312000510 DC Practitioner - Clinical Social Worker 1759447972 Reassigns benefits to 1 organization
Practice locations: Takoma Park, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

508 Lincoln Ave
Takoma Park, MD 20912-5802
Phone (301) 328-8855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1427296953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 LINCOLN AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209125802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 GEORGIA AVE",
            "address_2": "SUITE 308",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103638",
            "telephone_number": "301-495-6393",
            "fax_number": "301-495-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNTY",
        "first_name": "JUDITH",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "ED.D., MSW, LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.