Individual provider Active NPI

Elba Joanna Rivas Retana, LCSW-C

  • Clinical Social Worker
  • Silver Spring, MD
National Provider Identifier
1669981320
Registry record updated Sep 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20229 Issued in MD
Practice address
8709 Flower Ave
Silver Spring, MD 20901-4035
Phone
(301) 422-5904
NPI assigned
Sep 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2017

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 20229 MD Primary

Addresses

Primary practice location

8709 Flower Ave
Silver Spring, MD 20901-4035

Mailing address

8709 Flower Ave
Silver Spring, MD 20901-4035
Phone (301) 422-5904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: No
  • 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
I20181112002454 DC Practitioner - Clinical Social Worker 2668726548 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20229MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Marys Center for Maternal and Child Care Inc CurrentSince Sep 22, 2018 Accepting new patients
Mary'S Center for Maternal and Child Care, Inc Current Accepting new patients
Mary'S Center for Maternal and Child Care, Inc CurrentSince Sep 22, 2018 Accepting new patients
Mary'S Center for Maternal and Child Care, Inc. Past Accepting new patients

Locations

2333 Ontario Rd NW
Washington, DC 20009
Phone (202) 420-7175

8709 Flower Ave
Silver Spring, MD 20901
Phone (240) 485-3160

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506384000000",
    "number": "1669981320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8709 FLOWER AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014035",
            "telephone_number": "301-422-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8709 FLOWER AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014035",
            "telephone_number": "301-422-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS RETANA",
        "first_name": "ELBA",
        "middle_name": "JOANNA",
        "name_prefix": "Miss",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2017-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.