Organization Active NPI

Evelyn Goldsein LCSW-C LLC

  • Clinical Social Worker
  • Silver Spring, MD
National Provider Identifier
1487070280
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17134 Issued in MD
Legal business name
EVELYN GOLDSEIN LCSW-C LLC
Practice address
11235 Oak Leaf Dr
Suite 110
Silver Spring, MD 20901-1318
Phone
(301) 681-8597
Fax
(301) 598-6648
NPI assigned
Mar 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Authorized official

Name
Evelyn Goldstein, MSW
Title
LCSW-C
Phone
(240) 472-7045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 17134 MD Primary

Addresses

Primary practice location

11235 Oak Leaf Dr
Suite 110
Silver Spring, MD 20901-1318

Mailing address

10411 Brookmoor Dr
Silver Spring, MD 20901-2603
Phone (240) 472-7045

National Provider Directory

National Provider Directory

Locations

8701 Georgia Ave
Ste 401
Silver Spring, MD 20910
Phone (240) 277-7800

11235 Oak Leaf Dr
Ste 110
Silver Spring, MD 20901
Phone (301) 593-4286

NPI Registry JSON

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1487070280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10411 BROOKMOOR DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209012603",
            "telephone_number": "240-472-7045",
            "fax_number": "301-681-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11235 OAK LEAF DR",
            "address_2": "SUITE 110",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011318",
            "telephone_number": "301-681-8597",
            "fax_number": "301-598-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELYN GOLDSEIN LCSW-C LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "LCSW-C",
        "authorized_official_telephone_number": "240-472-7045",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17134",
            "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 Mar 17, 2014; 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.