Active NPI
Carol Moses Simon, MSW LCSWC
- Clinical Social Worker
- Greenbelt, MD
National Provider Identifier
1497822522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 01085
- Practice address
- 8955 E Edmonston Road
Greenbelt, MD 20770 - Phone
- (301) 982-7137
- Fax
- (301) 474-0650
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 01085 | MD | Primary |
Addresses
Primary practice location
8955 E Edmonston Road
Greenbelt, MD 20770
Mailing address
8955 E Edmonston Road
Greenbelt, MD 20770
Phone (301) 982-7137
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100601000131 | DC | Practitioner - Clinical Social Worker | 3870622822 | Practice locations: Washington, DC |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3133 Connecticut Ave NW
Apt 532
Washington, DC 20008-5107
3133 Connecticut Avenue NW
Washington, DC 20008-5103
Phone (301) 365-5016
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497822522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8955 E EDMONSTON ROAD",
"city": "GREENBELT",
"state": "MD",
"postal_code": "20770",
"telephone_number": "301-982-7137",
"fax_number": "301-474-0650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8955 E EDMONSTON ROAD",
"city": "GREENBELT",
"state": "MD",
"postal_code": "20770",
"telephone_number": "301-982-7137",
"fax_number": "301-474-0650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "CAROL",
"middle_name": "MOSES",
"name_prefix": "Ms.",
"credential": "MSW LCSWC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "01085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenbelt, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.