Individual provider Active NPI

Denise Lynnette Defoe, LMSW

  • Social Worker
  • Laurel, MD
National Provider Identifier
1629677075
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
17444 Issued in MD
Practice address
8101 Sandy Spring Rd Ste 224
Laurel, MD 20707-3596
Phone
(240) 581-1500
NPI assigned
Oct 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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 17444 MD Primary

Addresses

Primary practice location

8101 Sandy Spring Rd Ste 224
Laurel, MD 20707-3596

Mailing address

14502 Greenview Dr Ste 202
Laurel, MD 20708-3287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17444MDMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Imara Counseling Services, LLC CurrentSince Oct 25, 2020 Accepting new patients
Oasis of Mind, LLC PastSince Aug 1, 2023 Accepting new patients

Locations

14502 Greenview Dr
Ste 202
Laurel, MD 20708
Phone (240) 581-1500

8101 Sandy Spring Rd
Ste 224
Laurel, MD 20707
Phone (240) 513-4122

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": "1602892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1629677075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14502 GREENVIEW DR STE 202",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 SANDY SPRING RD STE 224",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073596",
            "telephone_number": "240-581-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFOE",
        "first_name": "DENISE",
        "middle_name": "LYNNETTE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-17",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "17444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.