Individual provider Active NPI

Judith Gallant, LCSW-C

  • Clinical Social Worker
  • Silver Spring, MD
National Provider Identifier
1497884886
Registry record updated Oct 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4030 Issued in MD
Practice address
8720 Georgia Ave
Suite 905
Silver Spring, MD 20910-3638
Phone
(301) 587-2552
Fax
(301) 587-1787
NPI assigned
Mar 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2007

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 4030 MD Primary

Addresses

Primary practice location

8720 Georgia Ave
Suite 905
Silver Spring, MD 20910-3638

Mailing address

8720 Georgia Ave
Suite 905
Silver Spring, MD 20910-3638
Phone (301) 587-2552

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2016 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
04030MDMDClinical Psychologist
4030MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192924800000",
    "number": "1497884886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 GEORGIA AVE",
            "address_2": "SUITE 905",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103638",
            "telephone_number": "301-587-2552",
            "fax_number": "301-587-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 GEORGIA AVE",
            "address_2": "SUITE 905",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103638",
            "telephone_number": "301-587-2552",
            "fax_number": "301-587-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLANT",
        "first_name": "JUDITH",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-03",
        "last_updated": "2007-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "4030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.