Individual provider Active NPI

Suzan M Sigmond, LCSWC-C

  • Clinical Social Worker
  • Rockville, MD
National Provider Identifier
1861583825
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
02648 Issued in MD
Practice address
15701 Crabbs Branch Way
Rockville, MD 20855-2634
Phone
(301) 251-8965
Fax
(012) 510-1363
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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 02648 MD Primary

Addresses

Primary practice location

15701 Crabbs Branch Way
Rockville, MD 20855-2634

Mailing address

15701 Crabbs Branch Way
Rockville, MD 20855-2634
Phone (301) 251-8965

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
I20070309000319 DC Practitioner - Clinical Social Worker 7517060692 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Willow Oak Therapy Center, IncGroup PAC ID 5698661023, 18 clinicians

Practice addresses (Care Compare)

15701 Crabbs Branch Way
Rockville, MD 20855-2634
Phone (301) 251-8965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Oak Therapy Center, Inc. CurrentSince Jun 8, 2023 Accepting new patients
Family Services, Inc Current Accepting new patients
Family Services, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Jody Tabner Thayer LLC Clinical PastSince Jun 8, 2023 Accepting new patients
Counseling Centers of Maryland Past Accepting new patients

Locations

16220 Frederick Rd
Ste 502
Gaithersburg, MD 20877
Phone (301) 978-9750

610 E Diamond Ave
Ste 100
Gaithersburg, MD 20877
Phone (301) 840-2000

15701 Crabbs Branch Way
Rockville, MD 20855
Phone (301) 251-8965

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1861583825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15701 CRABBS BRANCH WAY",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208552634",
            "telephone_number": "301-251-8965",
            "fax_number": "012-510-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15701 CRABBS BRANCH WAY",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208552634",
            "telephone_number": "301-251-8965",
            "fax_number": "012-510-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGMOND",
        "first_name": "SUZAN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSWC-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "02648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.