Diasporic Healing LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DIASPORIC HEALING LLC

Practice address

6710 Oxon Hill Rd Ste 210
Oxon Hill, MD 20745-1124

Phone

(202) 929-4286

NPI assigned

Apr 29, 2020

Last updated

May 20, 2024By 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

Gabrielle Jackson, LICSW, LCSW, LCSW-CNPI 1790241339

Title

Owner

Phone

(202) 929-4286

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Gabrielle Jackson, LICSW, LCSW, LCSW-C

  • Clinical Social Worker
  • Oxon Hill, MD
  • NPI 1790241339
  Authorized official Same address or phone

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1326669458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 OXON HILL RD STE 210",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451124",
            "telephone_number": "202-929-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 OXON HILL RD STE 210",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451124",
            "telephone_number": "202-929-4286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIASPORIC HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-929-4286",
        "authorized_official_credential": "LICSW, LCSW, LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dereje Bereded DDS,LLC
• Kenneth Andre Desandies, MD
• Mytaya M Deville
• Shawnessa Millicent Devonish, MA, LGPC, NCC
• Dialysis Newco LLC (U.S. Renal Care Oxon Hills Dialysis)
• Glenda Laurent Dickonson, PH.D., LCPC
• Diligent Support Services
• Dimensions Health Associates Dba University of Maryland Capital Region (University of Maryland Capital Region Health Medical Group)
• Dimensions Healthcare Associates Inc (University of Maryland Capital Region Health Medical Group)
• District Clinical Services

• Community/Behavioral Health Agency in Oxon Hill, MD
• Providers in Oxon Hill, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.