Active NPI
Eileen Gail Ivey, M.S.W.
- Clinical Social Worker
- Chevy Chase, MD
National Provider Identifier
1932113297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 02540
- Practice address
- 5480 Wisconsin Ave
Suite 227
Chevy Chase, MD 20815-3530 - Phone
- (301) 652-1030
- Fax
- (301) 654-1929
- NPI assigned
- Jul 29, 2006
- Sex
- Female
- 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 | 02540 | MD | Primary |
Addresses
Primary practice location
5480 Wisconsin Ave
Suite 227
Chevy Chase, MD 20815-3530
Mailing address
5480 Wisconsin Ave
Suite 227
Chevy Chase, MD 20815-3530
Phone (301) 652-1030
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080422000465 | DC | Practitioner - Clinical Social Worker | 1355429085 | Practice locations: Chevy Chase, MD |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1975
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
5480 Wisconsin Ave
Suite 227
Chevy Chase, MD 20815-3530
Phone (301) 652-1030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John D Kotler Psychotherapy LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Chevy Chase, MD
- NPI 1871288407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932113297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5480 WISCONSIN AVE",
"address_2": "SUITE 227",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208153530",
"telephone_number": "301-652-1030",
"fax_number": "301-654-1929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5480 WISCONSIN AVE",
"address_2": "SUITE 227",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208153530",
"telephone_number": "301-652-1030",
"fax_number": "301-654-1929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVEY",
"first_name": "EILEEN",
"middle_name": "GAIL",
"name_prefix": "Ms.",
"credential": "M.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "02540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chevy Chase, MD
- Internal Medicine of Chevy Chase, P.a.
- Internal Medicine Physicians at Friendship Heights LLC
- Intrepid Anesthesia Associates LLC
- Monique Emsellem Isaac, M.A. CCC-SLP
- Karen J Ivers, DDS LLC
- Ivy Associates, L.L.C. (Ivy Plastic Surgery Associates)
- J. Bing & Associates Anesthesia Services, L.L.C.
- Mary Alice Jackson
- Michael Jacobs, PHD
- Shana Jacobus, RN
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.
- 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.