Joan Weill, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14310 Issued in MD

Practice address

9475 Lottsford Rd
Suite 250
Largo, MD 20774-5357

Phone

(301) 636-6504

Fax

(301) 636-6509

NPI assigned

Aug 3, 2012

Sex

Female

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)

Enrolled

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1659628006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9475 LOTTSFORD RD",
            "address_2": "SUITE 250",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745357",
            "telephone_number": "301-636-6504",
            "fax_number": "301-636-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 LOTTSFORD RD",
            "address_2": "SUITE 250",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745357",
            "telephone_number": "301-636-6504",
            "fax_number": "301-636-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEILL",
        "first_name": "JOAN",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Largo, MD
• Providers in Largo, 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 Sep 6, 2016; 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.