Noelle Adami, LCSW-C
Individual provider Active NPI Social Worker · Prince Frederick, MD
NPI 1154633352 · NPPES record last updated Dec 18, 2019
Key facts
- NPI
- 1154633352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 16088 (MD)
- Practice address
- 65 Duke St Ste 203
Prince Frederick, MD 20678-6128 - Phone
- (240) 237-8716
- Fax
- (888) 883-1589
- NPI assigned
- Jul 6, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240807001894 | MD | Practitioner - Clinical Social Worker | 4082151170 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Place, LLC | Current |
Accepting new patients | |
| Therapy Cafe LLC | Social Worker | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 16088 | MD | Yes |
Addresses
Primary practice location
65 Duke St Ste 203
Prince Frederick, MD 20678-6128
Mailing address
65 Duke St Ste 203
Prince Frederick, MD 20678-6128
Phone (240) 237-8716
Other practice location 1
6100 Radio Station Road
Laplata, MD 20646
Phone (301) 609-9887
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 589561800 | Medicaid | MD |
Other providers in Prince Frederick, MD
- ABA Trax LLC
- Kenneth Lauron Abbott
- Genevieve Gizelle Marcos Abendan
- Fasika Berhanu Aberra
- Sarah Ackley
- Diana Christine Adamson
- Adfinitas Health Palliative Services, LLC
- Adult Day Care of Calvert County
- Advanced Orthopaedic Specialists, PC
- Advanced Orthopaedic Specialists, PC
All providers in Prince Frederick, MD · 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 Dec 18, 2019. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.