Active NPI
Lynda R Myers, LCSW C
- Social Worker
- Gaithersburg, MD
National Provider Identifier
1679680185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10911
- Practice address
- 11B First Field Rd
Gaithersburg, MD 20878 - Phone
- (301) 990-6880
- Fax
- (301) 990-0257
- NPI assigned
- Aug 23, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 10911 | MD | Primary |
Addresses
Primary practice location
11B First Field Rd
Gaithersburg, MD 20878
Mailing address
6123 Montrose Rd
Rockville, MD 20852
Phone (301) 881-3700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7385013 | Other | MD | AETNA |
| A2840106 | Other | DC | BCBS OF DC |
| 234986 | Other | MD | KAISER |
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 |
|---|---|---|---|
| 10911 | MD | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Social Service Agency | Social Worker | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679680185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6123 MONTROSE RD",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20852",
"telephone_number": "301-881-3700",
"fax_number": "301-468-1862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11B FIRST FIELD RD",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "20878",
"telephone_number": "301-990-6880",
"fax_number": "301-990-0257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "LYNDA",
"middle_name": "R",
"credential": "LCSW C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "10911",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7385013",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF DC",
"identifier": "A2840106",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "234986",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.