Individual provider Active NPI

Atefeh Fathnezhad

  • Social Worker
  • Germantown, MD
National Provider Identifier
1033583463
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
20251 Issued in MD
Practice address
12212 Walnut Creek CT
Germantown, MD 20874-1570
Phone
(240) 780-8508
NPI assigned
Nov 23, 2015
Reactivated
Dec 10, 2025
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 20251 MD Primary

Addresses

Primary practice location

12212 Walnut Creek CT
Germantown, MD 20874-1570

Mailing address

12212 Walnut Creek CT
Germantown, MD 20874-1570
Phone (240) 780-8508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20251MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aram Therapy Current Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1033583463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12212 WALNUT CREEK CT",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741570",
            "telephone_number": "240-780-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12212 WALNUT CREEK CT",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741570",
            "telephone_number": "240-780-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATHNEZHAD",
        "first_name": "ATEFEH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-23",
        "last_updated": "2025-12-10",
        "certification_date": "2022-11-29",
        "deactivation_date": "2022-11-29",
        "reactivation_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "20251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.