Pauline Jo Rago Adia
Individual provider Active NPI Social Worker · Laurel, MD
NPI 1679154694 · NPPES record last updated Apr 20, 2021
Key facts
- NPI
- 1679154694
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 26745 (MD)
- Practice address
- 8101 Sandy Spring Rd Ste 250
Laurel, MD 20707-3527 - Phone
- (800) 994-5403
- NPI assigned
- Apr 20, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26745 | MD | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 26745 | MD | Yes |
Addresses
Primary practice location
8101 Sandy Spring Rd Ste 250
Laurel, MD 20707-3527
Mailing address
8101 Sandy Spring Rd Ste 250
Laurel, MD 20707-3527
Phone (800) 994-5403
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.