Justin Sybenga, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

27210 Issued in MD

Practice address

3004 12TH St NE
Washington, DC 20017-2408

Phone

(202) 365-5517

NPI assigned

Jul 4, 2025

Last updated

Jul 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rise Therapy LLC

  • Clinical Social Worker
  • College Park, MD
  • NPI 1437088937
  NPD Authorized official

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

{
    "created_epoch": "1751587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751587200000",
    "number": "1639069354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 12TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172408",
            "telephone_number": "202-365-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 12TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172408",
            "telephone_number": "202-365-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYBENGA",
        "first_name": "JUSTIN",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-04",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "27210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barsha Swope
• Chandler Swope, MSW
• Emily Swope, DPT
• Jessica Sandham Swope, PH.D.
• Elizabeth Sworobuk
• Samantha Ann Sycalik, RDN
• Angela Sydnor
• Carmella Sydnor
• Imari Sydnor
• Nellie Sydnor

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.