Active NPI
Andrew Dauler
- Social Worker
- Silver Spring, MD
National Provider Identifier
1568876035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LGM484
- Practice address
- 12501 Prosperity Dr Ste 310
Silver Spring, MD 20904-1699 - Phone
- (240) 780-8884
- NPI assigned
- Jun 12, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LGM484 | MD | Primary |
Addresses
Primary practice location
12501 Prosperity Dr Ste 310
Silver Spring, MD 20904-1699
Mailing address
12501 Prosperity Dr Ste 310
Silver Spring, MD 20904-1699
Phone (402) 780-8884
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
| License | State | Type | Specialty |
|---|---|---|---|
| LGM484 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychcare Psychological Services, LLC | Current | Accepting new patients |
Locations
12501 Prosperity Dr
Ste 310
Silver Spring, MD 20904
Phone (240) 780-8884
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.
-
- Clinical Psychologist
- Silver Spring, MD
- NPI 1831529767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606003200000",
"number": "1568876035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12501 PROSPERITY DR STE 310",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209041699",
"telephone_number": "402-780-8884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12501 PROSPERITY DR STE 310",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209041699",
"telephone_number": "240-780-8884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAULER",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-12",
"last_updated": "2020-11-22",
"certification_date": "2020-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "LGM484",
"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 Nov 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.