Active NPI
Paula Irene Nemoga, LCSW-C
- Social Worker
- Greenbelt, MD
National Provider Identifier
1780057588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 16098
- Practice address
- 7474 Greenway Center Dr
Suite 730
Greenbelt, MD 20770-3504 - Phone
- (301) 345-1022
- Fax
- (301) 560-5558
- NPI assigned
- Nov 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 16098 | MD | Primary |
Addresses
Primary practice location
7474 Greenway Center Dr
Suite 730
Greenbelt, MD 20770-3504
Mailing address
7474 Greenway Center Dr
Suite 730
Greenbelt, MD 20770-3504
Phone (301) 345-1022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16098 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Behavioral Health, Inc | Current | Accepting new patients |
Locations
1003 W 7th St
Ste 500
Frederick, MD 21701
Phone (240) 297-1567
7474 Greenway Center Dr
Ste 730
Greenbelt, MD 20770
Phone (301) 982-3437
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": "1446508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555027200000",
"number": "1780057588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7474 GREENWAY CENTER DR",
"address_2": "SUITE 730",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703504",
"telephone_number": "301-345-1022",
"fax_number": "301-560-5558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7474 GREENWAY CENTER DR",
"address_2": "SUITE 730",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703504",
"telephone_number": "301-345-1022",
"fax_number": "301-560-5558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEMOGA",
"first_name": "PAULA",
"middle_name": "IRENE",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-03",
"last_updated": "2019-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "16098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenbelt, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.