Individual provider Active NPI

David Stephenson, LGSW

  • Social Worker
  • Silver Spring, MD
National Provider Identifier
1427471192
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
17118 Issued in MD
Practice address
8818 Georgia Ave
Child Adolescent Behavioral Services
Silver Spring, MD 20910-2713
Phone
(240) 777-4416
NPI assigned
Jan 30, 2014
Last updated
Jan 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 17118 MD Primary
Social Worker 104100000X LG50079608 DC

Addresses

Primary practice location

8818 Georgia Ave
Child Adolescent Behavioral Services
Silver Spring, MD 20910-2713

Mailing address

8818 Georgia Ave
Child Adolescent Behavioral Services
Silver Spring, MD 20910-2713
Phone (240) 777-4416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LG50079608DCMDSocial Worker
17118MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County Maryland Government Current Accepting new patients

Locations

401 Hungerford Dr
Fl 6
Rockville, MD 20850

Interoperability endpoints

  • Direct secure messaging: david.stephenson.p1@direct.mcg-hhs.nextgenshare.com
  • Direct secure messaging: david.stephenson.p3@direct.mcg-hhs.nextgenshare.com

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": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1427471192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8818 GEORGIA AVE",
            "address_2": "CHILD ADOLESCENT BEHAVIORAL SERVICES",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102713",
            "telephone_number": "240-777-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8818 GEORGIA AVE",
            "address_2": "CHILD ADOLESCENT BEHAVIORAL SERVICES",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102713",
            "telephone_number": "240-777-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "DAVID",
        "credential": "LGSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "17118",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LG50079608",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.