Active NPI
Nancy Ebb LLC
- Clinical Social Worker
- Bethesda, MD
National Provider Identifier
1992366413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy Ebb, MSW, LCSW-C
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 403771500 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.