Active NPI
Charlene Sylvia Thomas, LCSW-C
- Social Worker
- Bethesda, MD
National Provider Identifier
1407619067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 21934
- Practice address
- 6040 Southport Dr
Bethesda, MD 20814-1848 - Phone
- (484) 367-5214
- NPI assigned
- Feb 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 21934 | MD | Primary |
| Clinical Social Worker | 1041C0700X | 21934 | MD |
Addresses
Primary practice location
6040 Southport Dr
Bethesda, MD 20814-1848
Mailing address
6739 Second Morning CT
Columbia, MD 21045-4952
Phone (202) 210-5001
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21934 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1407619067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6739 SECOND MORNING CT",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210454952",
"telephone_number": "202-210-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6040 SOUTHPORT DR",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208141848",
"telephone_number": "484-367-5214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "CHARLENE",
"middle_name": "SYLVIA",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-05",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "21934",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "21934",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.