Patricia Decesare, LCSW
Individual provider Active NPI Clinical Social Worker · Montgomery Village, MD
NPI 1649385709 · NPPES record last updated Apr 7, 2016
Key facts
- NPI
- 1649385709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 12366 (MD)
- Practice address
- 19560 Club House Rd
Montgomery Village, MD 20886-3002 - Phone
- (203) 913-7850
- NPI assigned
- Aug 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
921 Russell Ave
Gaithersburg, MD 20879-3252
Phone (301) 366-0825
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151116000188 | DC | Practitioner - Clinical Social Worker | 4082705199 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12366 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patricia Decesare LLC | Clinical | Current |
Accepting new patients |
Locations
921 Russell Ave
Gaithersburg, MD 20879
Phone (240) 424-7406
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12366 | MD | Yes |
Addresses
Primary practice location
19560 Club House Rd
Montgomery Village, MD 20886-3002
Mailing address
19560 Club House Rd
Montgomery Village, MD 20886-3002
Phone (203) 913-7850
Other providers in Montgomery Village, MD
- Comprehensive Primary Care and Associates, LLC
- Cornerstone Pain & Restoration LLC
- Csaac, Inc.
- Liliana Cuervo
- David J. Levine, M.D., P.a.
- Alberto Diaz Jr.
- Alan J Dinkin
- Irene Nana Djomgoue Djamen
- Dr Brown-Primary Care LLC
- Susan Queeney Driscoll
All providers in Montgomery Village, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.