Organization Active NPI

Nancy Ebb LLC

  • Clinical Social Worker
  • Bethesda, MD
National Provider Identifier
1992366413
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NANCY EBB LLC
Practice address
4405 E West Hwy Ste 501
Bethesda, MD 20814-4536
Phone
(301) 538-1624
NPI assigned
Jun 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Authorized official

Name
Nancy Ebb, MSW, LCSW-CNPI 1992866891
Title
Sole Owner
Phone
(301) 538-1624

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4405 E West Hwy Ste 501
Bethesda, MD 20814-4536

Mailing address

7171 Woodmont Ave Unit 601
Bethesda, MD 20815-6276
Phone (301) 538-1624

Other identifiers 1

IdentifierTypeStateIssuer
403771500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191030001925 DC Part B Supplier - Clinic/Group Practice 2860724580 Receives reassigned benefits from 1 practitioner
Practice locations: Bethesda, MD

National Provider Directory

National Provider Directory

Locations

4405 East West Hwy
Ste 501
Bethesda, MD 20814
Phone (240) 476-8764

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1992366413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 WOODMONT AVE UNIT 601",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208156276",
            "telephone_number": "301-538-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 E WEST HWY STE 501",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144536",
            "telephone_number": "301-538-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY EBB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "EBB",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "301-538-1624",
        "authorized_official_credential": "MSW, LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403771500",
            "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 Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.