Katrea Denson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50080413 Issued in DC

Practice address

1717 Largo Rd
Upper Marlboro, MD 20774-8524

Phone

(301) 204-6904

Fax

(301) 204-6904

NPI assigned

Sep 8, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20385/brand/1/csg/1/fhir/r4

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.

• Authentic Healing Health and Wellness Center, LLC

  • Adult Mental Health Clinic/Center
  • Upper Marlboro, MD
  • NPI 1205502937
  NPD Authorized official

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1689121535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 LARGO RD",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748524",
            "telephone_number": "301-204-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 LARGO RD",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748524",
            "telephone_number": "301-204-6904",
            "fax_number": "301-204-6904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENSON",
        "first_name": "KATREA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50080413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Deh
• Delta Health and Wellness Consulting, LLC (Generational Health Center)
• Nicole A Deluca, FNP-C
• Imani Dendy
• Zamaiah Danesha Denis
• Dentistry for Children of Maryland, LLC
• Neha Desai, MSPT
• Desicare Project
• Doretha Destefano, LGPC
• Destilee LLC (Destilee Health Care)

• Clinical Social Worker in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.