Meagan Jennifer Desilva, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

14234 Issued in MD

Practice address

2 Evergreen Rd Ste 2
Severna Park, MD 21146-3829

Phone

(301) 275-6962

NPI assigned

Jan 29, 2013

Last updated

Jun 30, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Conversations Create Change LLCGroup PAC ID 7618217720, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Conversations Create Change LLC

  • Mental Health Counselor
  • Severna Park, MD
  • NPI 1366926032
  Medicare reassignment Care Compare group
• M&M Behavioral Health Solutions

  • Professional Counselor
  • Glen Burnie, MD
  • NPI 1134525710
  Medicare reassignment NPD
• M&M Behavioral Health Solutions

  • Addiction (Substance Use Disorder) Counselor
  • Glen Burnie, MD
  • NPI 1508217449
  NPD

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561852800000",
    "number": "1831437623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EVERGREEN RD",
            "address_2": "STE 2",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463829",
            "telephone_number": "301-275-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EVERGREEN RD STE 2",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463829",
            "telephone_number": "301-275-6962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6918 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Rosedale",
            "state": "MD",
            "postal_code": "212373854",
            "country_code": "US",
            "telephone_number": "443-442-1568",
            "fax_number": "443-442-1569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESILVA",
        "first_name": "MEAGAN",
        "middle_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-29",
        "last_updated": "2019-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "14234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary C Deckelman, MD
• Rachel Elizabeth Dehart, MS OTR/L
• David Rush Deitrick, DDS
• Reese L Delp
• Nina Marie Demaio
• Stephen Devlin, MD
• Sarah Hughes Dewling, DPT
• Brianna Mariama Diallo, RBT
• Dialog Healthcare LLC
• Frederick Andrew Diblasio, PH.D.

• Social Worker in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.