Petals Behavioral

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PETALS BEHAVIORAL

Practice address

12623 Epping Rd
Silver Spring, MD 20906-3865

Phone

(617) 777-0764

NPI assigned

Oct 29, 2020

Organization subpart

No

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

Authorized official

Name

Chekwube Nwabueze, LCSWCNPI 1427697721

Title

Ceo/Clinical Director

Phone

(617) 777-0764

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23395/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chekwube Jacinta Nwabueze

  • Clinical Social Worker
  • Boston, MA
  • NPI 1427697721

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761350400000",
    "number": "1669072633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12623 EPPING RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209063865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12623 EPPING RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209063865",
            "telephone_number": "617-777-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETALS BEHAVIORAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2025-10-25",
        "certification_date": "2025-10-25",
        "status": "A",
        "authorized_official_last_name": "NWABUEZE",
        "authorized_official_first_name": "CHEKWUBE",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "617-777-0764",
        "authorized_official_credential": "LCSWC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rudolph Perry
• Stephanie Perry
• Rebecca Perschon
• Laurie A Persh, LCPC,LPC, CCMHC
• Elizabeth Sara Perwin, LCSW-C
• Peter Aron LCSW-C LLC
• Areisa Peters
• Ursula Peters
• Tegan Peterson, LMSW
• Petite Physio and Wellness LLC

• Clinical Social Worker in Silver Spring, MD
• Providers in Silver Spring, 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 Oct 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.