Active NPI
John P O'Brien, LCSW-C
- Clinical Social Worker
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14829
- Practice address
- 198 Thomas Johnson Dr
Ste 9
Frederick, MD 21702-4443 - Phone
- (301) 208-8900
- Fax
- (301) 208-8369
- NPI assigned
- Sep 27, 2012
- Last updated
- Sep 7, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14829 | MD | Primary |
Addresses
Primary practice location
198 Thomas Johnson Dr
Ste 9
Frederick, MD 21702-4443
Mailing address
198 Thomas Johnson Dr
Ste 9
Frederick, MD 21702-4443
Phone (301) 208-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9426 Stewartown Rd
2F
Gaithersburg, MD 20879-1607
Phone (301) 208-8900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14829 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meier Clinics of Maryland, L.L.C. | Clinical | Current | Accepting new patients |
| Village Counselors LLC | Past | Accepting new patients |
Locations
2100 Manchester Rd
Ste 1510
Wheaton, IL 60187
Phone (708) 653-1717
230 N Washington St
Ste 206
Rockville, MD 20850
Phone (301) 315-9009
Organizations & group practices 2
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.
-
dba Meier Clinics
- Clinical Social Worker
- Rockville, MD
- NPI 1215984323
DC
-
- Professional Counselor
- Gaithersburg, MD
- NPI 1366646796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504742400000",
"number": "1700137940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 THOMAS JOHNSON DR",
"address_2": "STE 9",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024443",
"telephone_number": "301-208-8900",
"fax_number": "301-208-8369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 THOMAS JOHNSON DR",
"address_2": "STE 9",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024443",
"telephone_number": "301-208-8900",
"fax_number": "301-208-8369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "JOHN",
"middle_name": "P",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-27",
"last_updated": "2017-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "14829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.