Individual provider Active NPI

Anne K Eckman

  • Clinical Social Worker
  • Takoma Park, MD
National Provider Identifier
1710463294
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22565 Issued in MD
Practice address
24 Manor Cir Apt 106
Takoma Park, MD 20912-4553
Phone
(301) 908-3847
NPI assigned
Jul 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC50082035 DC
Clinical Social Worker 1041C0700X 22565 MD Primary

Addresses

Primary practice location

24 Manor Cir Apt 106
Takoma Park, MD 20912-4553

Mailing address

24 Manor Cir Apt 106
Takoma Park, MD 20912-4553
Phone (301) 908-3847

Other practice location 1

4201 Connecticut Ave NW Frnt 3
Washington, DC 20008-1162
Phone (202) 624-0010

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

State licenses

LicenseStateTypeSpecialty
22565MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1710463294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MANOR CIR APT 106",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124553",
            "telephone_number": "301-908-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MANOR CIR APT 106",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124553",
            "telephone_number": "301-908-3847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Connecticut Ave NW Frnt 3",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200081162",
            "country_code": "US",
            "telephone_number": "202-624-0010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECKMAN",
        "first_name": "ANNE",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50082035",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "22565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.