Individual provider Active NPI

Joan Marx Bernthal, LCSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1720299548
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC300265 Issued in DC
Practice address
5217 Wisconsin Ave NW
#207
Washington, DC 20015-2075
Phone
(202) 244-6565
NPI assigned
May 24, 2007
Sex
Female
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 LC300265 DC Primary

Addresses

Primary practice location

5217 Wisconsin Ave NW
#207
Washington, DC 20015-2075

Mailing address

8901 Persimmon Tree Rd
Potomac, MD 20854-4319
Phone (301) 365-8875

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC300265DCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720299548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 PERSIMMON TREE RD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208544319",
            "telephone_number": "301-365-8875",
            "fax_number": "301-365-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5217 WISCONSIN AVE NW",
            "address_2": "#207",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152075",
            "telephone_number": "202-244-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNTHAL",
        "first_name": "JOAN",
        "middle_name": "MARX",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC300265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

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.