Active NPI
Athina Nungovitch
- Social Worker
- Greenbelt, MD
National Provider Identifier
1457809170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 23472
- Practice address
- 7474 Greenway Center Dr Ste 700B
Greenbelt, MD 20770-3523 - Phone
- (240) 304-3327
- NPI assigned
- Sep 12, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 23472 | MD | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
7474 Greenway Center Dr Ste 700B
Greenbelt, MD 20770-3523
Mailing address
7474 Greenway Center Dr Ste 700B
Greenbelt, MD 20770-3523
Phone (240) 304-3327
Other practice location 1
405 Central Ave
Northfield, IL 60093-3006
Phone (847) 441-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 30, 2021 through Aug 30, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23472 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577664000000",
"number": "1457809170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7474 GREENWAY CENTER DR STE 700B",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703523",
"telephone_number": "240-304-3327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7474 GREENWAY CENTER DR STE 700B",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703523",
"telephone_number": "240-304-3327"
}
],
"practiceLocations": [
{
"address_1": "405 Central Ave",
"address_purpose": "LOCATION",
"city": "Northfield",
"state": "IL",
"postal_code": "600933006",
"country_code": "US",
"telephone_number": "847-441-5600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NUNGOVITCH",
"first_name": "ATHINA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-12",
"last_updated": "2019-12-30",
"certification_date": "2019-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "23472",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenbelt, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.