Toni Cortellessa, LCSW-C
Individual provider Active NPI Clinical Social Worker · Rockville, MD
NPI 1124351317 · NPPES record last updated Sep 7, 2009
Key facts
- NPI
- 1124351317
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 07290 (MD)
- Practice address
- 110 N Washington St
Ste 407
Rockville, MD 20850-2223 - Phone
- (301) 299-6470
- NPI assigned
- Sep 7, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2017 through Apr 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC302151 | DC | MD | Clinical Social Worker |
| 07290 | MD | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC302151 | DC | |
| Clinical Social Worker | 1041C0700X | 07290 | MD | Yes |
Addresses
Primary practice location
110 N Washington St
Ste 407
Rockville, MD 20850-2223
Mailing address
110 N Washington St
Ste 407
Rockville, MD 20850-2223
Phone (301) 299-6470
Other providers in Rockville, MD
- Anne-Marie Corrado
- John Correa
- Mike J Corrie
- Chatae Corry
- Michael Corsey Jr.
- Juantia Cortes Bernal
- Maureen Cortes
- Lilian Cortez Melgar
- Adrian Cortez
- Brenda Cortez
All providers in Rockville, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.