Maddison L Pezzelle, MSSW, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

27215 Issued in MD

Practice address

4350 E West Hwy Ste 200
Bethesda, MD 20814-4426

Phone

(301) 970-4001

NPI assigned

Sep 6, 2020

Last updated

Sep 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Healthy Foundations, LLC

  dba Healthy Foundations

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bethesda, MD
  • NPI 1740729581
  NPD
• HFG Holdings, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bethesda, MD
  • NPI 1215336706
  NPD (past)

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

{
    "created_epoch": "1599350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1821602871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 E WEST HWY STE 200",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144426",
            "telephone_number": "301-970-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 E WEST HWY STE 200",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144426",
            "telephone_number": "301-970-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEZZELLE",
        "first_name": "MADDISON",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MSSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-06",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "27215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wehazit Petros
• Lindsay Petty, RN, BSN, IBCLC
• Jennifer C. Petzel, LCSW-C
• Maria Gabriela Pezo
• Amanda Joyce Jacob Pezzanite, LCSW-C
• Susan Pfeiffer, PA-C
• Duyen Ky Pham Hua
• Anh Tuan Pham
• Hongvan Thi Pham, PHARM D.
• Long Thien Pham, PHARM.D.

• Clinical Social Worker in Bethesda, MD
• Providers in Bethesda, 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 Sep 27, 2021; 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.

Verify at the official NPI Registry.