Individual provider Active NPI

Mariana E. Santeli, LCSW-C

  • Clinical Social Worker
  • Upper Marlboro, MD
National Provider Identifier
1306409826
Registry record updated Sep 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19407 Issued in MD
Practice address
3610 Halloway N
Upper Marlboro, MD 20772-3212
Phone
(240) 283-4991
NPI assigned
Apr 19, 2019
Last updated
Sep 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 19407 MD Primary

Addresses

Primary practice location

3610 Halloway N
Upper Marlboro, MD 20772-3212

Mailing address

14605 Elm St # 303
Upper Marlboro, MD 20773-0303
Phone (240) 283-4991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250424000744 DC Practitioner - Clinical Social Worker 0446776306 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Healthcare Resources Inc. CurrentSince Feb 24, 2025 Accepting new patients
Prestige Healthcare Resources Inc. CurrentSince Feb 24, 2025 Accepting new patients
Adolfo Advisory, LLC Clinical CurrentSince Jul 1, 2024 Accepting new patients

Locations

1418 Marion Barry Ave SE
Washington, DC 20020
Phone (202) 796-5000

143 Kennedy St NW
Ste 1
Washington, DC 20011
Phone (202) 558-2448

14605 Elm St
Unit 303
Upper Marlboro, MD 20773

Organizations & group practices 3

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": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727568000000",
    "number": "1306409826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14605 ELM ST # 303",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207730303",
            "telephone_number": "240-283-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 HALLOWAY N",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723212",
            "telephone_number": "240-283-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTELI",
        "first_name": "MARIANA",
        "middle_name": "E.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2024-09-29",
        "certification_date": "2024-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

Verify at the official NPI Registry.