Individual provider Active NPI

Amy Irene Redman, MSW, LCSW-C

  • Clinical Social Worker
  • Columbia, MD
National Provider Identifier
1417688052
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23784 Issued in MD
Practice address
5525 Twin Knolls Rd Ste 327
Columbia, MD 21045-3207
Phone
(240) 723-0902
NPI assigned
Jun 23, 2022
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 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 23784 MD Primary

Addresses

Primary practice location

5525 Twin Knolls Rd Ste 327
Columbia, MD 21045-3207

Mailing address

617 Mississippi Ave
Silver Spring, MD 20910-5238

Other practice location 1

8120 Woodmont Ave Ste 840
Bethesda, MD 20814-2789
Phone (240) 618-2889

Other practice location 2

21512 New Hampshire Ave
Brookeville, MD 20833-1841
Phone (240) 723-0902

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
I20240702004511 DC Practitioner - Clinical Social Worker 9739621640 Reassigns benefits to 1 organization
Practice locations: Silver Spring, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
One Mental Health LLCGroup PAC ID 6103294939, 14 clinicians

Practice addresses (Care Compare)

8120 Woodmont Ave
Suite 840
Bethesda, MD 20814-2789
Phone (240) 618-2889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23784MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
One Mental Health LLC CurrentSince Aug 5, 2024 Accepting new patients

Locations

8120 Woodmont Ave
Ste 840
Bethesda, MD 20814
Phone (240) 618-2889

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1417688052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 MISSISSIPPI AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209105238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 TWIN KNOLLS RD STE 327",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453207",
            "telephone_number": "240-723-0902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8120 Woodmont Ave Ste 840",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208142789",
            "country_code": "US",
            "telephone_number": "240-618-2889",
            "fax_number": "240-623-9858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21512 New Hampshire Ave",
            "address_purpose": "LOCATION",
            "city": "Brookeville",
            "state": "MD",
            "postal_code": "208331841",
            "country_code": "US",
            "telephone_number": "240-723-0902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDMAN",
        "first_name": "AMY",
        "middle_name": "IRENE",
        "credential": "MSW, LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "23784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.