Individual provider Active NPI

George M. Guschwan, LCSW-C

  • Clinical Social Worker
  • Largo, MD
National Provider Identifier
1548392111
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15547 Issued in MD
Practice address
9475 Lottsford Rd
Suite 250
Largo, MD 20774-5357
Phone
(301) 636-6504
Fax
(301) 636-6509
NPI assigned
Mar 9, 2007
Last updated
Oct 29, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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 15547 MD Primary

Addresses

Primary practice location

9475 Lottsford Rd
Suite 250
Largo, MD 20774-5357

Mailing address

4201 Tuckerman St
University Park, MD 20782-2144
Phone (301) 502-8245

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
I20090217000348 DC Practitioner - Clinical Social Worker 8729143201 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Behneman and Guschwan, Inc.Group PAC ID 1557547650, 2 clinicians
Qci Behavioral Health Consulting Group, LLCGroup PAC ID 3971665969, 18 clinicians

Practice addresses (Care Compare)

4201 Tuckerman St
University Park, MD 20782-2144
Phone (301) 927-4378

9475 Lottsford Rd
Suite 250
Largo, MD 20774-5346
Phone (301) 636-6504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Behneman & Guschwan, Inc. Clinical CurrentSince May 1, 2011 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, 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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1548392111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 TUCKERMAN ST",
            "city": "UNIVERSITY PARK",
            "state": "MD",
            "postal_code": "207822144",
            "telephone_number": "301-502-8245",
            "fax_number": "301-927-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 LOTTSFORD RD",
            "address_2": "SUITE 250",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745357",
            "telephone_number": "301-636-6504",
            "fax_number": "301-636-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSCHWAN",
        "first_name": "GEORGE",
        "middle_name": "M.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

Verify at the official NPI Registry.