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JAY W. EUBANKS JR. LCSW-C
NPI 1821455825
Social Worker - Clinical in Gaithersburg, MD

Active since January 21, 2016Opted out of Medicare · through Jul 1, 2028
4 PROFESSIONAL DR, #120, GAITHERSBURG, MD 20879(301) 330-5669(301) 330-5639 Get Directions Write a Review

NPPES record last updated: January 21, 2016. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Jay W. Eubanks Jr. Lcsw-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAY W. EUBANKS JR. LCSW-C (NPI 1821455825) is an individual clinical provider in Gaithersburg, Maryland, licensed in Maryland (10007) and active in the NPI registry since January 2016. He has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1821455825
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJAY W. EUBANKS JR.Credential: LCSW-C
Location Address4 PROFESSIONAL DR, #120Gaithersburg, MD 20879-3407
Mailing Address20300 Cider Barrel DrGermantown, MD 20876-2760 · (301) 330-5669 · Fax (301) 330-5639
Phone(301) 330-5669
Fax(301) 330-5639
Sole ProprietorYes
Enumeration DateJanuary 21, 2016
✔ NPI 1821455825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MD · 10007
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4 PROFESSIONAL DR, Gaithersburg, MD 20879
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jay W. Eubanks Jr. Lcsw-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2016 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2016
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20879 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $65.18 – $194.86
Typical copayment $0.00 (range $16.29 – $48.71)
Most-billed visit code NA
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DON AZURE M.A.
Counselor (Mental Health)
4 PROFESSIONAL DR, SUITE 120
GAITHERSBURG, MD 20879
Montgomery County (301) 602-3041
MS. DANIELLE MEGAN ROSENBLATT LCPC
Counselor (Professional)
4 PROFESSIONAL DR, #120
GAITHERSBURG, MD 20879
Montgomery County (484) 432-1204
KELLY ZINNA, PSY.D.
Community/Behavioral Health
4 PROFESSIONAL DR, SUITE 110
GAITHERSBURG, MD 20879
Montgomery County (240) 447-4454
UNIVERSAL HEALTH SYSTEMS INC
Home Health
4 PROFESSIONAL DR, SUITE 149
GAITHERSBURG, MD 20879
Montgomery County (301) 355-5272
MS. YEN H LE FNP
Nurse Practitioner (Family)
4 PROFESSIONAL DR
GAITHERSBURG, MD 20879
Montgomery County (301) 569-6176
DR. DONNA LYNN LIMPARIS DDS
Dentist (General Practice)
4 PROFESSIONAL DR, #117
GAITHERSBURG, MD 20879
Montgomery County (301) 990-2299
ZINNA & AMADO PSYCHOLOGICAL CONSULTING
Psychologist (Clinical)
4 PROFESSIONAL DR, SUITE 120
GAITHERSBURG, MD 20879
Montgomery County (202) 355-5300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jay Eubanks's NPI number?

The NPI number for Jay Eubanks is 1821455825. It was assigned to this individual provider in the NPPES registry on January 21, 2016.

Where is Jay Eubanks located?

Jay Eubanks practices at 4 Professional Dr #120, Gaithersburg, MD 20879. The listed phone number is (301) 330-5669.

What is Jay Eubanks's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jay Eubanks enrolled in Medicare?

No. Jay Eubanks has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jay Eubanks was last updated on January 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.