Organization Active NPI

Fadc Recovery LLC

  • Social Worker
  • Rockville, MD
National Provider Identifier
1245163658
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
FADC RECOVERY LLC
Practice address
30 Courthouse SQ
Rockville, MD 20850-2302
Phone
(202) 600-1450
NPI assigned
Jun 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Fred O AgakNPI 1477496677
Title
President
Phone
(202) 600-1450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

30 Courthouse SQ
Rockville, MD 20850-2302

Mailing address

19544 Montgomery Village Ave
Gaithersburg, MD 20886-1917
Phone (202) 600-1450

National Provider Directory

National Provider Directory

Locations

19544 Montgomery Village Ave
Gaithersburg, MD 20886
Phone (202) 600-1450

30 Courthouse Sq
Rockville, MD 20850
Phone (202) 600-1450

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1780617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1245163658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19544 MONTGOMERY VILLAGE AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208861917",
            "telephone_number": "202-600-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 COURTHOUSE SQ",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502302",
            "telephone_number": "202-600-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FADC RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-05",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "AGAK",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-600-1450"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.