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Patricia Decesare LLC

Organization Active NPI Clinical Social Worker · Montgomery Village, MD

NPI 1306254149 · NPPES record last updated Jul 19, 2016

Key facts

NPI
1306254149
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
Legal business name
PATRICIA DECESARE LLC
Practice address
19560 Club House Rd
Montgomery Village, MD 20886-3002
Phone
(240) 235-6560
NPI assigned
Jul 24, 2014
Organization subpart
No

Authorized official

Name
Patricia Decesare, LCSW
Title
President
Phone
(240) 235-6560

Practitioners 2

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in DC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20160929000030 DC Part B Supplier - Clinic/Group Practice 7517254915 Receives reassigned benefits from 1 practitioner
Practice locations: Gaithersburg, MD

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP		 1041C0700X Yes

Addresses

Primary practice location

19560 Club House Rd
Montgomery Village, MD 20886-3002

Mailing address

19560 Club House Rd
Montgomery Village, MD 20886-3002
Phone (301) 366-0825

Other providers in Montgomery Village, MD

All providers in Montgomery Village, MD · Clinical Social Worker in Maryland

Sources for this page

Verify at the official NPI Registry.