Individual provider Active NPI

Mark Hirschfeld, LCSW-C, BCD

  • Clinical Social Worker
  • Wheaton, MD
National Provider Identifier
1689759110
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
02603 Issued in MD
Practice address
11102 Veirs Mill Road
Suite # 707
Wheaton, MD 20902
Phone
(301) 933-6182
Fax
(301) 681-0331
NPI assigned
Oct 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 02603 MD Primary

Addresses

Primary practice location

11102 Veirs Mill Road
Suite # 707
Wheaton, MD 20902

Mailing address

305 Prelude Dr
Silver Spring, MD 20901-5041
Phone (301) 933-6182

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689759110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 PRELUDE DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209015041",
            "telephone_number": "301-933-6182",
            "fax_number": "301-681-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11102 VEIRS MILL ROAD",
            "address_2": "SUITE # 707",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "20902",
            "telephone_number": "301-933-6182",
            "fax_number": "301-681-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCHFELD",
        "first_name": "MARK",
        "credential": "LCSW-C, BCD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "02603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, MD

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.

Verify at the official NPI Registry.