Individual provider Active NPI

Barrie Krellen Gochman, LCSW-C

  • Clinical Social Worker
  • Kensington, MD
National Provider Identifier
1740333186
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
08647 Issued in MD
Practice address
3750 University Blvd W
Suite 303
Kensington, MD 20895-2136
Phone
(301) 466-1163
Fax
(301) 933-7588
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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 08647 MD Primary

Addresses

Primary practice location

3750 University Blvd W
Suite 303
Kensington, MD 20895-2136

Mailing address

3750 University Blvd W
Suite 303
Kensington, MD 20895-2136

Other identifiers 2

IdentifierTypeStateIssuer
296803OtherMHN,TRICARE
80740001OtherBLUE CROSS BLUE SHIELD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050809000316 DC Practitioner - Clinical Social Worker 3375572415 Practice locations: Kensington, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3750 University Blvd W
Kensington, MD 20895-2136
Phone (301) 466-1163

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1740333186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 UNIVERSITY BLVD W",
            "address_2": "SUITE 303",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 UNIVERSITY BLVD W",
            "address_2": "SUITE 303",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952136",
            "telephone_number": "301-466-1163",
            "fax_number": "301-933-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOCHMAN",
        "first_name": "BARRIE",
        "middle_name": "KRELLEN",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "08647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN,TRICARE",
            "identifier": "296803",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80740001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

Verify at the official NPI Registry.