Individual provider Active NPI

Miriam Elizabeth Panameno Granadeno, LCSW-C

  • Clinical Social Worker
  • Hyattsville, MD
National Provider Identifier
1114585502
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20288 Issued in MD
Practice address
7406 24TH Ave
Hyattsville, MD 20783-2614
Phone
(301) 832-0441
NPI assigned
May 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20288 MD Primary

Addresses

Primary practice location

7406 24TH Ave
Hyattsville, MD 20783-2614

Mailing address

7406 24TH Ave
Hyattsville, MD 20783-2614
Phone (301) 832-0441

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201230000349 DC Practitioner - Clinical Social Worker 4385057884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Family Services IncGroup PAC ID 0749614352, 3 clinicians

Practice addresses (Care Compare)

1425 University Blvd E
Suite 245
Hyattsville, MD 20783-4646
Phone (240) 752-2767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Global Family Services, Inc. Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1114585502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7406 24TH AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207832614",
            "telephone_number": "301-832-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7406 24TH AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207832614",
            "telephone_number": "301-832-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANAMENO GRANADENO",
        "first_name": "MIRIAM",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

Verify at the official NPI Registry.