Active NPI
Elissa Lopez Inthisane, MSW, LCSW-C
- Clinical Social Worker
- Bethesda, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 22371
- Practice address
- 8120 Woodmont Ave Ste 840
Bethesda, MD 20814-2789 - Phone
- (240) 618-2889
- Fax
- (240) 623-9858
- NPI assigned
- Sep 18, 2017
- Last updated
- Jan 29, 2024
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 22371 | MD | Primary |
Addresses
Primary practice location
8120 Woodmont Ave Ste 840
Bethesda, MD 20814-2789
Mailing address
8120 Woodmont Ave Ste 840
Bethesda, MD 20814-2789
Phone (240) 618-2889
Other practice location 1
9420 Key West Ave Ste 430
Rockville, MD 20850-6371
Phone (301) 579-0089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8120 Woodmont Ave
Suite 840
Bethesda, MD 20814-2789
Phone (240) 618-2889
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Mental Health LLC | Current | Accepting new patients |
Locations
8120 Woodmont Ave
Ste 840
Bethesda, MD 20814
Phone (240) 618-2889
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.
-
dba Ellie Mental Health of Montgomery County
- Adolescent and Children Mental Health Clinic/Center
- Bethesda, MD
- NPI 1699407460
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1710406004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8120 WOODMONT AVE STE 840",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208142789",
"telephone_number": "240-618-2889",
"fax_number": "240-623-9858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8120 WOODMONT AVE STE 840",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208142789",
"telephone_number": "240-618-2889",
"fax_number": "240-623-9858"
}
],
"practiceLocations": [
{
"address_1": "9420 Key West Ave Ste 430",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208506371",
"country_code": "US",
"telephone_number": "301-579-0089",
"fax_number": "240-623-9858",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "INTHISANE",
"first_name": "ELISSA",
"middle_name": "LOPEZ",
"credential": "MSW, LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-18",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "22371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Intergrating Children and Knowledge of Washington
- Lisbeth Marian Interiano
- Internal Medicine of Washington, LLC
- Wendy Jewell Introne, M.D.
- Aniekan Inyang
- Mirenda Inyiagu
- Ion Healthcare Corporation
- Ion of Bethesda, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.