Arezou Ariane Djavan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

28970 Issued in MD

Practice address

610 E Diamond Ave
Gaithersburg, MD 20877-5321

Phone

(301) 840-3200

NPI assigned

Sep 1, 2022

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 MD

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

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quince Orchard Psychotherapy LLCGroup PAC ID 5395194302, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Quince Orchard Psychotherapy LLC

  • Psychiatry Physician
  • Rockville, MD
  • NPI 1336670389

  Clinical

  Medicare reassignment Care Compare group NPD
• Oasis the Mental Health Center, LLC

  • Psychiatry Physician
  • Glen Burnie, MD
  • NPI 1174606057
  NPD (past)
• Quince Orchard Psychotherapy LLC

  • Clinical Social Worker
  • Nottingham, MD
  • NPI 1619895844
  NPD (past)

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1043930779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 AZALEA DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E DIAMOND AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208775321",
            "telephone_number": "301-840-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJAVAN",
        "first_name": "AREZOU ARIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "28970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• District Endodontics Gaithersburg LLC
• Divergent Dermatology and Aesthetics
• Adolphine Diwa
• Stephanie Kathryn Dix, RPH
• Leonelle Djamen
• DJH Ventures LLC
• DMV Health Services, LLC
• DMV Health Services, LLC
• DMV Mental Health, LLC
• Doctors First Professional Corporation

• Clinical Social Worker in Gaithersburg, MD
• Providers in Gaithersburg, 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 Sep 1, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.