Individual provider Active NPI

Sonja Sharon Marlis Chestnut, LCSW-C, LICSW

  • Clinical Social Worker
  • North Potomac, MD
National Provider Identifier
1992219414
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21781 Issued in MD
Practice address
13111 Moran CT
North Potomac, MD 20878-3922
Phone
(301) 977-0824
NPI assigned
Nov 20, 2017
Last updated
Sep 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC50081962 DC
Clinical Social Worker 1041C0700X 21781 MD Primary

Addresses

Primary practice location

13111 Moran CT
North Potomac, MD 20878-3922

Mailing address

14311 Arctic Ave
Rockville, MD 20853-2253
Phone (202) 321-8429

Other practice location 1

14311 Arctic Ave
Rockville, MD 20853-2253
Phone (410) 941-9208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50081962DCMDClinical Social Worker
21781MDMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1992219414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14311 ARCTIC AVE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208532253",
            "telephone_number": "202-321-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 MORAN CT",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208783922",
            "telephone_number": "301-977-0824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14311 Arctic Ave",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208532253",
            "country_code": "US",
            "telephone_number": "410-941-9208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHESTNUT",
        "first_name": "SONJA",
        "middle_name": "SHARON MARLIS",
        "name_prefix": "Ms.",
        "credential": "LCSW-C, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50081962",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Potomac, MD

Sources for this page

Verify at the official NPI Registry.