Individual provider Active NPI

Roseline Mordi

  • Social Worker
  • Lanham, MD
National Provider Identifier
1265643514
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
23137 Issued in MD
Practice address
9301 Annapolis Rd Ste 100
Lanham, MD 20706-3133
Phone
(240) 296-6300
NPI assigned
May 25, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X G12200 MD
Social Worker 104100000X 23137 MD Primary

Addresses

Primary practice location

9301 Annapolis Rd Ste 100
Lanham, MD 20706-3133

Mailing address

14356 Rosetree CT
Silver Spring, MD 20906-1941
Phone (240) 277-4832

Other practice location 1

10123 Senate Dr
1st Floor
Lanham, MD 20706-4367
Phone (301) 459-9840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170928001704 DC Practitioner - Clinical Social Worker 4284908369 Reassigns benefits to 1 organization
I20241209000042 MD Practitioner - Clinical Social Worker 4284908369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Columbia Associates in Psychiatry PCGroup PAC ID 7113165739, 127 clinicians

Practice addresses (Care Compare)

10400 Little Patuxent Pkwy
Columbia, MD 21044-3518
Phone (571) 977-6870

2960 Sleepy Hollow Rd
Falls Church, VA 22044-2030
Phone (703) 536-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G12200MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Associates in Psychiatry PC Social Worker CurrentSince Dec 2, 2024 Accepting new patients

Locations

10400 Little Patuxent Pkwy
Columbia, MD 21044
Phone (410) 210-4098

2501 N Glebe Rd
Ste 303
Arlington, VA 22207
Phone (703) 485-9519

2960 Sleepy Hollow Rd
Falls Church, VA 22044
Phone (703) 304-7764

Organizations & group practices 1

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265643514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14356 ROSETREE CT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209061941",
            "telephone_number": "240-277-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 ANNAPOLIS RD STE 100",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063133",
            "telephone_number": "240-296-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10123 Senate Dr",
            "address_2": "1st Floor",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207064367",
            "country_code": "US",
            "telephone_number": "301-459-9840",
            "fax_number": "301-459-4856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORDI",
        "first_name": "ROSELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "G12200",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "23137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.