Individual provider Active NPI

Anna Melody Gabriszeski, LCSW-C

  • Clinical Social Worker
  • Greenbelt, MD
National Provider Identifier
1417544727
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20826 Issued in MD
Practice address
7474 Greenway Center Dr Ste 700a
Greenbelt, MD 20770-3523
Phone
(301) 987-3437
Fax
(301) 987-9452
NPI assigned
Dec 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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 20826 MD Primary

Addresses

Primary practice location

7474 Greenway Center Dr Ste 700a
Greenbelt, MD 20770-3523

Mailing address

7474 Greenway Center Dr Ste 700a
Greenbelt, MD 20770-3523
Phone (301) 987-3437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210330000298 MD Practitioner - Clinical Social Worker 9133536618 Reassigns benefits to 1 organization
I20210513001595 DC Practitioner - Clinical Social Worker 9133536618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifespan Behavioral Health Services PCGroup PAC ID 4082041637, 29 clinicians

Practice addresses (Care Compare)

1003 W 7TH St
Suite 200
Frederick, MD 21701-4106
Phone (301) 245-6300

7474 Greenway Ctr Dr
Suite 700a
Greenbelt, MD 20770-3523
Phone (301) 982-3437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20826MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Behavioral Health Services PC CurrentSince Feb 5, 2021 Accepting new patients

Locations

1003 W 7th St
Ste 200
Frederick, MD 21701
Phone (240) 651-6824

7474 Greenway Center Dr
Ste 700A
Greenbelt, MD 20770
Phone (301) 982-3437

101 E Chesapeake Ave
Ste 401
Towson, MD 21286
Phone (301) 982-3437

Organizations & group practices 2

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": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1417544727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7474 GREENWAY CENTER DR STE 700A",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703523",
            "telephone_number": "301-987-3437",
            "fax_number": "301-987-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7474 GREENWAY CENTER DR STE 700A",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703523",
            "telephone_number": "301-987-3437",
            "fax_number": "301-987-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRISZESKI",
        "first_name": "ANNA",
        "middle_name": "MELODY",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.