Active NPI
Tata Yuven
- Case Manager/Care Coordinator
- Brandywine, MD
National Provider Identifier
1669164091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 14808 Hazen CT
Brandywine, MD 20613-2040 - Phone
- (240) 302-0628
- NPI assigned
- May 24, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | DC | ||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
14808 Hazen CT
Brandywine, MD 20613-2040
Mailing address
14808 Hazen CT
Brandywine, MD 20613-2040
Phone (240) 302-0628
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769558400000",
"number": "1669164091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14808 HAZEN CT",
"city": "BRANDYWINE",
"state": "MD",
"postal_code": "206132040",
"telephone_number": "240-302-0628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14808 HAZEN CT",
"city": "BRANDYWINE",
"state": "MD",
"postal_code": "206132040",
"telephone_number": "240-302-0628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUVEN",
"first_name": "TATA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-24",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DC",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandywine, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.