David Avruch, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DAVID AVRUCH, LCSW-C

Practice address

3600 Roland Ave Ste 4
Baltimore, MD 21211-2437

Phone

(443) 272-5932

NPI assigned

Nov 13, 2018

Last updated

Nov 13, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David AvruchNPI 1184957466

Title

Owner

Phone

(443) 272-5932

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Avruch, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1184957466
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1619446291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 DRUID PARK DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 ROLAND AVE STE 4",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112437",
            "telephone_number": "443-272-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID AVRUCH, LCSW-C",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "AVRUCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-272-5932"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dejae Davenport
• Effie Leighton Davenport, M.D.
• Marsha Guilford Davenport, MD
• Naimah Davenport, LCSW-C
• Nicholas J Davenport, LCSW-C
• David Benson Inc (Kayes Epic Pharmacy)
• David C Bastacky DMD PA
• David Cohen DPM, PA
• David D Collins, MD. P.a
• David M O'Neil MD PA

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.