Jeannette Mwangacucu, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

12301 Old Columbia Pike Ste 201
Silver Spring, MD 20904-1656

Phone

(301) 328-0101

Fax

(301) 328-0103

NPI assigned

Dec 6, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

M Mental Health and Wellness Plus LLCGroup PAC ID 2163703026, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• M Mental Health and Wellness Plus LLC

  • Community/Behavioral Health Agency
  • Silver Spring, MD
  • NPI 1366991697

  DC

  Medicare reassignment Care Compare group Authorized official
• M Mental Health and Wellness Plus LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Silver Spring, MD
  • NPI 1730990805
  NPD (past) Authorized official
• M Mental Health and Wellness Plus LLC

  • Community/Behavioral Health Agency
  • Silver Spring, MD
  • NPI 1912719543
  NPD (past) Authorized official

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1235560913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7602 STANMORE DRIVE",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "20705",
            "telephone_number": "301-693-4888",
            "fax_number": "301-693-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 OLD COLUMBIA PIKE STE 201",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041656",
            "telephone_number": "301-328-0101",
            "fax_number": "301-328-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MWANGACUCU",
        "first_name": "JEANNETTE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-06",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.