Sylvana Kwentua, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17637 Issued in MD

Practice address

11302 Polaris Dr
Upper Marlboro, MD 20774-3539

Phone

(301) 675-6153

NPI assigned

Feb 23, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Master Potter Inc.

  • Community/Behavioral Health Agency
  • Upper Marlboro, MD
  • NPI 1184999724
  NPD (past) Authorized official

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1508130477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11302 POLARIS DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207743539",
            "telephone_number": "301-675-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11302 POLARIS DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207743539",
            "telephone_number": "301-675-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWENTUA",
        "first_name": "SYLVANA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17637",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007750",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079328",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victorine Sih Kum
• Delphine Zhia Kumbong
• Doreatha Kurtz
• Victoria M Kusi Boateng
• Mubongo Priestly Kwati Ayong
• Labris, Inc.
• Lorene Lake
• Scholastique Lambal
• Sunny Lambert
• Lana Health Services LLC

• Clinical Social Worker in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.