Individual provider Active NPI

Don'Elle Curtise' Ray

  • Social Worker
  • Waldorf, MD
National Provider Identifier
1790370757
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
21003 Issued in MD
Practice address
12612 Willow View PL
Waldorf, MD 20602-1416
Phone
(240) 385-1960
NPI assigned
Mar 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 21003 MD Primary

Addresses

Primary practice location

12612 Willow View PL
Waldorf, MD 20602-1416

Mailing address

12612 Willow View PL
Waldorf, MD 20602-1416
Phone (240) 385-1960

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250906000284 MD Practitioner - Clinical Social Worker 9739681909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Safe Harbor Behavioral Care LLCGroup PAC ID 0345514675, 81 clinicians

Practice addresses (Care Compare)

2 Post Office Rd
Suite 1a
Waldorf, MD 20602-2726
Phone (410) 893-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21003MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Christian Counseling LLC Social Worker CurrentSince Jun 23, 2025 Accepting new patients
Safe Harbor Behavioral Care, LLC Social Worker CurrentSince Jun 23, 2025 Accepting new patients

Locations

1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500

2 Post Office Rd
Ste 1A
Waldorf, MD 20602

Organizations & group practices 2

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": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1790370757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12612 WILLOW VIEW PL",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206021416",
            "telephone_number": "240-385-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12612 WILLOW VIEW PL",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206021416",
            "telephone_number": "240-385-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "DON'ELLE",
        "middle_name": "CURTISE'",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "21003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.