Individual provider Active NPI

Famara Cham, LGSW

  • Clinical Social Worker
  • White Plains, MD
National Provider Identifier
1679062947
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23659 Issued in 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
Last updated
May 2, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 23659 MD Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23659MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bison Therapeutic LLC CurrentSince Mar 12, 2024 Accepting new patients
All Minds Matter Current Accepting new patients
All Minds Matter Clinical CurrentSince Jul 21, 2024 Accepting new patients

Locations

6178 Oxon Hill Rd
Ste 301
Oxon Hill, MD 20745
Phone (240) 493-6277

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1679062947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 WILSON BRIDGE DR APT C2",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 REGENCY PL STE 205",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953074",
            "telephone_number": "240-427-3554",
            "fax_number": "240-419-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAM",
        "first_name": "FAMARA",
        "credential": "LGSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "23659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, MD

Sources for this page

Verify at the official NPI Registry.