Individual provider Active NPI

Judith R Bernstein, LCSW-C

  • Social Worker
  • Bethesda, MD
National Provider Identifier
1982604559
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
09004 Issued in MD
Practice address
Suburban Hospital Community Homecare Management Program
8600 Old Georgetown Road, Lambert BLDG. First Floor
Bethesda, MD 20814
Phone
(301) 896-6500
Fax
(301) 896-6505
NPI assigned
Jul 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 09004 MD Primary

Addresses

Primary practice location

Suburban Hospital Community Homecare Management Program
8600 Old Georgetown Road, Lambert BLDG. First Floor
Bethesda, MD 20814

Mailing address

Suburban Hospital Community Homecare Management Program
8600 Old Georgetown Road, Lambert BLDG. First Floor
Bethesda, MD 20814
Phone (301) 896-6500

Other identifiers 2

IdentifierTypeStateIssuer
8405107MedicaidMD
0430-0002OtherMDBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9004MDMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1982604559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUBURBAN HOSPITAL COMMUNITY HOMECARE MANAGEMENT PROGRAM",
            "address_2": "8600 OLD GEORGETOWN ROAD, LAMBERT BLDG. FIRST FLOOR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20814",
            "telephone_number": "301-896-6500",
            "fax_number": "301-896-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUBURBAN HOSPITAL COMMUNITY HOMECARE MANAGEMENT PROGRAM",
            "address_2": "8600 OLD GEORGETOWN ROAD, LAMBERT BLDG. FIRST FLOOR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20814",
            "telephone_number": "301-896-6500",
            "fax_number": "301-896-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "JUDITH",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "09004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8405107",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0430-0002",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.