Fangyu Qi, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22058 Issued in MD

Practice address

6010 Executive Blvd Ste 206
North Bethesda, MD 20852-3822

Phone

(240) 447-7772

NPI assigned

Nov 17, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Behavioral Health Services, LLC

  • Clinical Social Worker
  • Falls Church, VA
  • NPI 1134797970
  NPD Authorized official
• The DBT Center of Greater Washington

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Bethesda, MD
  • NPI 1992263958
  NPD (past)

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1063926608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 EXECUTIVE BLVD STE 206",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523822",
            "telephone_number": "917-435-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 EXECUTIVE BLVD STE 206",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523822",
            "telephone_number": "240-447-7772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7945 MacArthur Blvd Ste 214",
            "address_purpose": "LOCATION",
            "city": "Cabin John",
            "state": "MD",
            "postal_code": "20818",
            "country_code": "US",
            "telephone_number": "301-987-7284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4915 Saint Elmo Ave Ste 504",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208146019",
            "country_code": "US",
            "telephone_number": "301-229-0063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QI",
        "first_name": "FANGYU",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-17",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "22058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prestige Homehealthcare Services
• Prime Healthcare Solution LLC
• Privia Medical Group, LLC
• PRN Counseling
• Alexis Puleo, LCSW
• Brocklin Qualls, M.ED
• Jamielyn Quinto
• Raul N Mandler, MD, LLC
• Regenerative Orthopedics and Sports Medicine, LLC
• Valerie T. Relacion, MD

• Clinical Social Worker in North Bethesda, MD
• Providers in North Bethesda, 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 Mar 18, 2020; 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.