Chentell McIntosh Gomez

Primary specialty

Social WorkerTaxonomy code 104100000X

License

15361 Issued in MD

Practice address

1301 Continental Dr Ste 101
Abingdon, MD 21009-2338

Phone

(667) 600-3220

NPI assigned

Nov 2, 2018

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

Enrolled in MD

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

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Associated Catholic Charities IncGroup PAC ID 8527101351, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Associated Catholic Charities, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1073639159
  Medicare reassignment Care Compare group NPD
• Associated Catholic Charities, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1972066629
  NPD

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1174091656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CONTINENTAL DR STE 101",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092338",
            "telephone_number": "667-600-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CONTINENTAL DR STE 101",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092338",
            "telephone_number": "667-600-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH GOMEZ",
        "first_name": "CHENTELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "15361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen L Mauck, LCSW-C
• Victoria Lynn McCall, LCSW-C
• James Todd McCloskey, PA-C
• Jacque McCruden, LMSW
• Elizabeth Colleen McGrady, PHARMD
• Nicole Natasha McLeod, PMHNP
• Krystin R McNealy, LMSW
• Laura Jean McSherry, LCSW
• MDP Home Care LLC
• Kaylie G Meliker, PA-C

• Social Worker in Abingdon, MD
• Providers in Abingdon, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.