Individual provider Active NPI

Noelle Adami, LCSW-C

  • Social Worker
  • Prince Frederick, MD
National Provider Identifier
1154633352
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
16088 Issued in 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
Last updated
Dec 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 16088 MD Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: No
  • 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
I20240807001894 MD Practitioner - Clinical Social Worker 4082151170 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16088MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Place, LLC CurrentSince Jul 24, 2024 Accepting new patients
Therapy Cafe LLC Social Worker PastSince Aug 1, 2021 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1154633352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 DUKE ST STE 203",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206786128",
            "telephone_number": "240-237-8716",
            "fax_number": "888-883-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 DUKE ST STE 203",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206786128",
            "telephone_number": "240-237-8716",
            "fax_number": "888-883-1589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6100 RADIO STATION ROAD",
            "address_purpose": "LOCATION",
            "city": "LAPLATA",
            "state": "MD",
            "postal_code": "20646",
            "country_code": "US",
            "telephone_number": "301-609-9887",
            "fax_number": "301-609-7284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMI",
        "first_name": "NOELLE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "16088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.