Active NPI
Michael Joseph Saco Barga
- Clinical Social Worker
- Gaithersburg, MD
National Provider Identifier
1649774456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 18949
- Practice address
- 18715 N Frederick Ave
Gaithersburg, MD 20879-3121 - Phone
- (240) 364-8453
- Fax
- (301) 519-2533
- NPI assigned
- Mar 19, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 18949 | MD | Primary |
Addresses
Primary practice location
18715 N Frederick Ave
Gaithersburg, MD 20879-3121
Mailing address
2117 Ellis St
Silver Spring, MD 20910-1118
Phone (240) 478-0930
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 |
|---|---|---|---|
| 18949 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521417600000",
"number": "1649774456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2117 ELLIS ST",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209101118",
"telephone_number": "240-478-0930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18715 N FREDERICK AVE",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208793121",
"telephone_number": "240-364-8453",
"fax_number": "301-519-2533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARGA",
"first_name": "MICHAEL",
"middle_name": "JOSEPH SACO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-19",
"last_updated": "2018-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "18949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.