Active NPI
Aldrin Osvaldo Ceballos, LCSW-C
- Clinical Social Worker
- Gaithersburg, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14168
- Practice address
- 604 S Frederick Ave
Ste 215
Gaithersburg, MD 20877-1282 - Phone
- (202) 390-4487
- Fax
- (301) 740-2192
- NPI assigned
- Jul 31, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 14168 | MD | Primary |
Addresses
Primary practice location
604 S Frederick Ave
Ste 215
Gaithersburg, MD 20877-1282
Mailing address
20332 Cedarhurst Way
Germantown, MD 20876-5642
Phone (202) 390-4487
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, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1398 Lamberton Dr
Silver Spring, MD 20902-3414
Phone (301) 493-4200
6040 Southport Dr
Bethesda, MD 20814-1848
Phone (301) 493-4200
9055 Shady Grove CT
Gaithersburg, MD 20877-1301
Phone (301) 944-2746
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14168 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Montgomery, Inc. | Current | Accepting new patients | |
| Cornerstone Montgomery, Inc. | Current | Accepting new patients | |
| Cornerstone Montgomery, Inc. | Current | Accepting new patients | |
| Adventist Physician Services, Inc. | Current | Accepting new patients |
Locations
6040 Southport Dr
Bethesda, MD 20814
Phone 3014934200228
820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878
9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000
2 Taft Ct
Ste 200
Rockville, MD 20850
Phone (301) 715-3673
Interoperability endpoints
- aldrin.ceballos.p1@direct.mcg-hhs.nextgenshare.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bethesda, MD
- NPI 1194725739
DC
-
- Physical Medicine & Rehabilitation Physician
- Gaithersburg, MD
- NPI 1376623207
DC
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockville, MD
- NPI 1134591985
-
- Adult Mental Health Clinic/Center
- Silver Spring, MD
- NPI 1174995781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521417600000",
"number": "1811275423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20332 CEDARHURST WAY",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208765642",
"telephone_number": "202-390-4487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 S FREDERICK AVE",
"address_2": "STE 215",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208771282",
"telephone_number": "202-390-4487",
"fax_number": "301-740-2192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEBALLOS",
"first_name": "ALDRIN",
"middle_name": "OSVALDO",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-31",
"last_updated": "2018-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "14168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.