Organization Active NPI

Stacey Erd, LLC

  • Clinical Social Worker
  • Bethesda, MD
National Provider Identifier
1689097438
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17867 Issued in MD
Legal business name
STACEY ERD, LLC
Practice address
10411 Motor City Dr
Suite 500
Bethesda, MD 20817-1008
Phone
(301) 337-0954
NPI assigned
Jan 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Authorized official

Name
Stacey Erd, MSW
Title
Owner
Phone
(307) 337-0954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 17867 MD Primary

Addresses

Primary practice location

10411 Motor City Dr
Suite 500
Bethesda, MD 20817-1008

Mailing address

12701 Steeple Chase Way
Potomac, MD 20854-2343
Phone (301) 424-3909

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1689097438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12701 STEEPLE CHASE WAY",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542343",
            "telephone_number": "301-424-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10411 MOTOR CITY DR",
            "address_2": "SUITE 500",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171008",
            "telephone_number": "301-337-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACEY ERD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "ERD",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-337-0954",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.