Stacie Tversky, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC5107 Issued in MD

Practice address

3622 Doc Berlin Dr
Silver Spring, MD 20906-1176

Phone

(202) 701-8541

NPI assigned

Aug 26, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1902273964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 DOC BERLIN DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209061176",
            "telephone_number": "202-701-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 DOC BERLIN DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209061176",
            "telephone_number": "202-701-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TVERSKY",
        "first_name": "STACIE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Type 1 Individual Provider

• Professional Counselor in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.