Individual provider Active NPI

Silvina Etchegoyen, LCSW-C

  • Clinical Social Worker
  • Walkersville, MD
National Provider Identifier
1497400733
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24405 Issued in MD
Practice address
215 Deer Run Dr
Walkersville, MD 21793-8190
Phone
(203) 889-8238
NPI assigned
Feb 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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 24405 MD Primary

Addresses

Primary practice location

215 Deer Run Dr
Walkersville, MD 21793-8190

Mailing address

215 Deer Run Dr
Walkersville, MD 21793-8190
Phone (203) 889-8238

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
24405MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kindred Tree Healing Center, LLC Clinical CurrentSince Feb 11, 2024 Accepting new patients

Locations

258 W Patrick St
Frederick, MD 21701
Phone (703) 249-9933

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": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1497400733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 DEER RUN DR",
            "city": "WALKERSVILLE",
            "state": "MD",
            "postal_code": "217938190",
            "telephone_number": "203-889-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 DEER RUN DR",
            "city": "WALKERSVILLE",
            "state": "MD",
            "postal_code": "217938190",
            "telephone_number": "203-889-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETCHEGOYEN",
        "first_name": "SILVINA",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "24405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walkersville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.