Individual provider Active NPI

Renata Pavani

  • Clinical Social Worker
  • New Market, MD
National Provider Identifier
1689136566
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24153 Issued in MD
Practice address
4 W Main St
New Market, MD 21774-6290
Phone
(301) 381-4586
NPI assigned
Apr 1, 2019
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 24153 MD Primary

Addresses

Primary practice location

4 W Main St
New Market, MD 21774-6290

Mailing address

17112 Downing St Apt 201
Gaithersburg, MD 20877-3625
Phone (202) 330-3810

Other practice location 1

205 Broadway St Ste 310
Frederick, MD 21701-6762
Phone (301) 381-4586

Other practice location 2

610 E Diamond Ave Ste 100A
Gaithersburg, MD 20877-5321
Phone (301) 840-3200

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
I20211223000195 DC Practitioner - Clinical Social Worker 2062803257 Reassigns benefits to 1 organization
I20250401001996 MD Practitioner - Clinical Social Worker 2062803257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Valley Therapy, L.L.C.Group PAC ID 1850738493, 6 clinicians

Practice addresses (Care Compare)

19707 Executive Park Cir
Germantown, MD 20874-2639
Phone (301) 250-9965

205 Broadway St
Suite 310
Frederick, MD 21701-6762
Phone (301) 381-4586

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24153MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Green Valley Therapy, L.L.C. Social Worker CurrentSince Mar 27, 2025 Accepting new patients
Green Valley Therapy, L.L.C. Clinical CurrentSince Jun 29, 2025 Accepting new patients
Heuristic Therapeutic Services, LLC CurrentSince Dec 24, 2023 Accepting new patients
Heuristic Therapeutic Services, LLC CurrentSince Dec 24, 2023 Accepting new patients

Locations

205 Broadway St
Ste 310
Frederick, MD 21701
Phone (301) 381-4586

19707 Executive Park Cir
Germantown, MD 20874
Phone (240) 550-9720

Organizations & group practices 4

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1689136566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17112 DOWNING ST APT 201",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773625",
            "telephone_number": "202-330-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 W MAIN ST",
            "city": "NEW MARKET",
            "state": "MD",
            "postal_code": "217746290",
            "telephone_number": "301-381-4586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Broadway St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217016762",
            "country_code": "US",
            "telephone_number": "301-381-4586",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 E Diamond Ave Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208775321",
            "country_code": "US",
            "telephone_number": "301-840-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAVANI",
        "first_name": "RENATA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "24153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Market, MD

Sources for this page

Verify at the official NPI Registry.