Famara Cham, LGSW
Individual provider Active NPI Clinical Social Worker · White Plains, MD
NPI 1679062947 · NPPES record last updated May 2, 2018
Key facts
- NPI
- 1679062947
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 23659 (MD)
- Practice address
- 4475 Regency PL Ste 205
White Plains, MD 20695-3074 - Phone
- (240) 427-3554
- Fax
- (240) 419-2556
- NPI assigned
- May 2, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23659 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Minds Matter | Current | Accepting new patients | |
| Bison Therapeutic LLC | Current |
Accepting new patients | |
| All Minds Matter | Clinical | Current |
Accepting new patients |
Locations
6178 Oxon Hill Rd
Ste 301
Oxon Hill, MD 20745
Phone (240) 493-6277
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 23659 | MD | Yes |
Addresses
Primary practice location
4475 Regency PL Ste 205
White Plains, MD 20695-3074
Mailing address
518 Wilson Bridge Dr Apt C2
Oxon Hill, MD 20745-1881
Other providers in White Plains, MD
- Imani Carter
- Center for Pain Management ,LLC
- Center for Pain Management, LLC
- Center of Interventional Medicine LLC
- Centers for Advanced Orthopaedics, LLC
- Charles County Department of Health
- Charles County Department of Health
- Charles County Department of Health
- Charles County Department of Health
- Charles County Department of Health
All providers in White Plains, 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 May 2, 2018. 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.