Individual provider Active NPI

Rebecca Louise Deku, LCSW-C

  • Clinical Social Worker
  • Landover Hills, MD
National Provider Identifier
1649618364
Registry record updated Jan 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16127 Issued in MD
Practice address
5301 76TH Ave
Landover Hills, MD 20784-1703
Phone
(301) 459-2121
NPI assigned
Jun 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2018

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 16127 MD Primary

Addresses

Primary practice location

5301 76TH Ave
Landover Hills, MD 20784-1703

Mailing address

142 Old Enterprise Rd
Upper Marlboro, MD 20774-1645
Phone (313) 402-5639

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
I20130705000035 DC Practitioner - Clinical Social Worker 6305086893 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8700 Georgia Ave
Suite 304
Silver Spring, MD 20910-3605
Phone (301) 310-2774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16127MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Getting to Peace, LLC CurrentSince Jan 1, 2020 Accepting new patients
Family Service Foundation, Inc CurrentSince Jun 6, 2013 Accepting new patients

Locations

5301 76th Ave
Landover Hls, MD 20784
Phone (301) 459-2121

8700 Georgia Ave
Ste 304
Silver Spring, MD 20910
Phone (301) 219-7198

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": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514851200000",
    "number": "1649618364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 OLD ENTERPRISE RD",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741645",
            "telephone_number": "313-402-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 76TH AVE",
            "city": "LANDOVER HILLS",
            "state": "MD",
            "postal_code": "207841703",
            "telephone_number": "301-459-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKU",
        "first_name": "REBECCA",
        "middle_name": "LOUISE",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2018-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Landover Hills, MD

Sources for this page

Verify at the official NPI Registry.