Marwan Castellani, LCSW-C
Individual provider Active NPI Clinical Social Worker · Montgomery Village, MD
NPI 1679002471 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1679002471
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 16981 (MD)
- Practice address
- 18502 Office Park Drive
Montgomery Village, MD 20886 - Phone
- (301) 509-9359
- NPI assigned
- Jun 6, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|---|
| I20200505000028 | DC | Practitioner - Clinical Social Worker | 9032540216 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midcounty Therapy, LLC | Clinical | Current |
Accepting new patients |
Locations
18502 Office Park Dr
Montgomery Village, MD 20886
Phone (301) 509-9359
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 16981 | MD | Yes |
Addresses
Primary practice location
18502 Office Park Drive
Montgomery Village, MD 20886
Mailing address
18502 Office Park Dr
Montgomery Village, MD 20886-0585
Phone (301) 509-9359
Other providers in Montgomery Village, MD
- Tracy Calandro
- Trung Cao
- Careplus Home Health, Inc.
- Caring Center
- Grachelle Ibanez Casem
- Iliana Castilla
- Gerald W Chan
- Charishma LLC
- Arti H Chauhan
- Jessica Cheeks
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 Jul 21, 2022. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.