Individual provider Active NPI

Angela Ghersi

  • Clinical Social Worker
  • Rockville, MD
National Provider Identifier
1437494887
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904016590 Issued in VA
Practice address
1395 Piccard Dr
Suite320
Rockville, MD 20850-5523
Phone
(301) 434-8985
NPI assigned
Dec 11, 2012
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 19618 MD
Clinical Social Worker 1041C0700X 0904016590 VA Primary

Addresses

Primary practice location

1395 Piccard Dr
Suite320
Rockville, MD 20850-5523

Mailing address

2006 South Old Mill Dr.
Pocomoke City, MD 21851-5523
Phone (667) 786-2634

Other names 1

  • Angela Aoun Former name

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
I20190430000494 DC Practitioner - Clinical Social Worker 3870835580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Green Ridge Behavioral Health, LLCGroup PAC ID 3476685181, 10 clinicians

Practice addresses (Care Compare)

1395 Piccard Dr
Suite 320
Rockville, MD 20850-4349
Phone (240) 683-6202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904016590VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spanish Catholic Center Past Accepting new patients
Spanish Catholic Charities Catholic Community Services Clinical Past Accepting new patients

Organizations & group practices 3

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": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1437494887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 SOUTH OLD MILL DR.",
            "city": "POCOMOKE CITY",
            "state": "MD",
            "postal_code": "218515523",
            "telephone_number": "667-786-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 PICCARD DR",
            "address_2": "SUITE320",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505523",
            "telephone_number": "301-434-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHERSI",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-11",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19618",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904016590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "AOUN",
            "credential": "LCSW-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.