Tacie Dejanikus, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12476 Issued in MD

Practice address

1398 Lamberton Dr
Silver Spring, MD 20902-3414

Phone

(301) 754-1102

Fax

(301) 754-1690

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tacie.dejanikus.p3@direct.mcg-hhs.nextgenshare.com
• Direct secure messaging: tacie.dejanikus.p1@direct.mcg-hhs.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Montgomery County Maryland Government

  • Adult Mental Health Clinic/Center
  • Silver Spring, MD
  • NPI 1104946482

  DC

  Medicare reassignment NPD
• Montgomery County Maryland Government

  • Community/Behavioral Health Agency
  • Rockville, MD
  • NPI 1326939570
  NPD
• Montgomery County Maryland Government

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockville, MD
  • NPI 1730487703
  NPD
• Threshold Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Silver Spring, MD
  • NPI 1255379947
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003968439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 BANGOR DR",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951106",
            "telephone_number": "301-933-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1398 LAMBERTON DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209023414",
            "telephone_number": "301-754-1102",
            "fax_number": "301-754-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJANIKUS",
        "first_name": "TACIE",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosita H Dee, M.D
• Simrah Deen
• Danielle Defeugaing, HHA
• Bayush Belayneh Degefu
• Patricia Miller Dehof, CRNP
• Seble Zewde Dejene
• Erin Del Ninno, MD
• Soraya Astrid Del Valle
• Del-Mah Medical & Psychiatric Services LLC
• James Anthony Del-Vecchio, M.D.

• Clinical Social Worker in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.