Patricia Decesare LLC

Primary specialty

Clinical Social WorkerTaxonomy code 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

Last updated

Jul 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia Decesare, LCSWNPI 1649385709

Title

President

Phone

(240) 235-6560

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Decesare, LCSW

  • Clinical Social Worker
  • Montgomery Village, MD
  • NPI 1649385709

  DC

  Medicare reassignment NPD Authorized official
• Heidi Paula Vanderwalde, LCPC

  • Professional Counselor
  • Derwood, MD
  • NPI 1508075003
  NPD (past)

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1306254149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19560 CLUB HOUSE RD",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208863002",
            "telephone_number": "301-366-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19560 CLUB HOUSE RD",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208863002",
            "telephone_number": "240-235-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA DECESARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "DECESARE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-235-6560",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enoch Osei, CPCT-A
• Mangala D Pandya, MD
• Parisa Partovi-Tabar, D.D.S
• Bankim J Patel, RPH
• Sonia Amin Patel, PHD
• Patrick White LLC
• Jacob Clifford Pawela
• Monica Susan Perretta, RD, LD
• Boshra Peyrovi
• Kingsley Ndekeh Piengong

• Clinical Social Worker in Montgomery Village, MD
• Providers in Montgomery Village, 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 Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.