Individual provider Active NPI

Donna M Troisi, BCD, LCSW-C

  • Clinical Social Worker
  • North Potomac, MD
National Provider Identifier
1679614788
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
03448 Issued in MD
Practice address
12105 Darnestown Rd
Ste 28
North Potomac, MD 20878-2217
Phone
(240) 281-8319
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 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 Worker 1041C0700X 03448 MD Primary

Addresses

Primary practice location

12105 Darnestown Rd
Ste 28
North Potomac, MD 20878-2217

Mailing address

P.O. Box 56
Boyds, MD 20841-0056
Phone (240) 281-8319

Other identifiers 1

IdentifierTypeStateIssuer
709200800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040622000786 DC Practitioner - Clinical Social Worker 7214912427 Practice locations: Germantown, MD
I20180516001419 MD Practitioner - Clinical Social Worker 7214912427 Practice locations: Frederick, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20472 Summersong LN
Germantown, MD 20874-3938
Phone (240) 281-8319

3534 Urbana Pike
Suite C
Frederick, MD 21704-7786
Phone (240) 281-8319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Mind Wellness, LLC PastSince Sep 1, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1679614788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 56",
            "city": "BOYDS",
            "state": "MD",
            "postal_code": "208410056",
            "telephone_number": "240-281-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12105 DARNESTOWN RD",
            "address_2": "STE 28",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208782217",
            "telephone_number": "240-281-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROISI",
        "first_name": "DONNA",
        "middle_name": "M",
        "credential": "BCD, LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "03448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "709200800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Potomac, MD

Sources for this page

Verify at the official NPI Registry.