Individual provider Active NPI

Adriana De Palma, LCSW-C

  • Clinical Social Worker
  • Gaithersburg, MD
National Provider Identifier
1356691422
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15392 Issued in MD
Practice address
16220 S Frederick Ave
Suite 502
Gaithersburg, MD 20877
Phone
(301) 978-9750
Fax
(301) 978-9753
NPI assigned
Sep 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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 15392 MD Primary

Addresses

Primary practice location

16220 S Frederick Ave
Suite 502
Gaithersburg, MD 20877

Mailing address

16220 S Frederick Ave
Suite 502
Gaithersburg, MD 20877
Phone (301) 978-9750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15392MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1356691422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16220 S FREDERICK AVE",
            "address_2": "SUITE 502",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "20877",
            "telephone_number": "301-978-9750",
            "fax_number": "301-978-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16220 S FREDERICK AVE",
            "address_2": "SUITE 502",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "20877",
            "telephone_number": "301-978-9750",
            "fax_number": "301-978-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE PALMA",
        "first_name": "ADRIANA",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.