Individual provider Active NPI

Ruth Simon, LCSW C

  • Clinical Social Worker
  • Gaithersburg, MD
National Provider Identifier
1629139050
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
03719 Issued in MD
Practice address
16220 S Frederick Avenue
Suite 502
Gaithersburg, MD 20877-4022
Phone
(301) 978-9750
Fax
(301) 978-9753
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 03719 MD Primary

Addresses

Primary practice location

16220 S Frederick Avenue
Suite 502
Gaithersburg, MD 20877-4022

Mailing address

16220 S Frederick Avenue
Suite 502
Gaithersburg, MD 20877-4022
Phone (301) 978-9750

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040304000805 DC Practitioner - Clinical Social Worker 2466340252 Practice locations: Bethesda, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6013 Benalder Dr
Bethesda, MD 20816-1009
Phone (301) 229-6764

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629139050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16220 S FREDERICK AVENUE",
            "address_2": "SUITE 502",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774022",
            "telephone_number": "301-978-9750",
            "fax_number": "301-978-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16220 S FREDERICK AVENUE",
            "address_2": "SUITE 502",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774022",
            "telephone_number": "301-978-9750",
            "fax_number": "301-978-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "LCSW C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "03719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.