Individual provider Active NPI

Sonja Watts-Means, MSW

  • Clinical Social Worker
  • Upper Marlboro, MD
National Provider Identifier
1376695890
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
08795 Issued in MD
Practice address
14626 Main St Ste 206
Upper Marlboro, MD 20772-3026
Phone
(301) 952-0600
Fax
(301) 952-1303
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 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 08795 MD Primary

Addresses

Primary practice location

14626 Main St Ste 206
Upper Marlboro, MD 20772-3026

Mailing address

14626 Main St Ste 206
Upper Marlboro, MD 20772-3026
Phone (240) 644-2580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • 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
I20070621000490 DC Practitioner - Clinical Social Worker 8123127776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Howard University College of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Diversified Counseling Services LLCGroup PAC ID 0648286831, 5 clinicians

Practice addresses (Care Compare)

9135 Piscataway Rd
Clinton, MD 20735-2542
Phone (301) 856-3636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08795MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Diversified Counseling Services, LLC CurrentSince Feb 20, 2017 Accepting new patients

Locations

9135 Piscataway Rd
Ste 220
Clinton, MD 20735
Phone (301) 856-3636

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1376695890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14626 MAIN ST STE 206",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723026",
            "telephone_number": "240-644-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14626 MAIN ST STE 206",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723026",
            "telephone_number": "301-952-0600",
            "fax_number": "301-952-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS-MEANS",
        "first_name": "SONJA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "08795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

Verify at the official NPI Registry.