Individual provider Active NPI

Devera Eileen Gilden, LCSW-C

  • Social Worker
  • Baltimore, MD
National Provider Identifier
1477855807
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
08281 Issued in MD
Practice address
5209 York Road, Suite B12
Women'S Growth Center
Baltimore, MD 21212
Phone
(410) 532-2476
Fax
(410) 532-2747
NPI assigned
Nov 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 08281 MD Primary

Addresses

Primary practice location

5209 York Road, Suite B12
Women'S Growth Center
Baltimore, MD 21212

Mailing address

16 Seminary Drive
Lutherville, MD 21093-4756
Phone (443) 562-6880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200721002090 FL Practitioner - Clinical Social Worker 6406023514 Practice locations: The Villages, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2827 Cade CT
The Villages, FL 32163-5444
Phone (443) 562-6880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08281MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Growth Center Past Accepting new patients
Fishel, Watson and Lemaire, P.a. PastSince Jan 26, 2020 Accepting new patients

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": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1477855807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SEMINARY DRIVE",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934756",
            "telephone_number": "443-562-6880",
            "fax_number": "410-339-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 YORK ROAD, SUITE B12",
            "address_2": "WOMEN'S GROWTH CENTER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21212",
            "telephone_number": "410-532-2476",
            "fax_number": "410-532-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILDEN",
        "first_name": "DEVERA",
        "middle_name": "EILEEN",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "08281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.