Active NPI
Charity A Dzieketey, LCSW-C
- Clinical Social Worker
- Lanham, MD
National Provider Identifier
1841708849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 17522
- Practice address
- 9500 Annapolis Rd
Lanham, MD 20706-2060 - Phone
- (301) 364-8827
- NPI assigned
- Jan 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 17522 | MD | |
| Clinical Social Worker | 1041C0700X | 17522 | MD | Primary |
Addresses
Primary practice location
9500 Annapolis Rd
Lanham, MD 20706-2060
Mailing address
9701 Philadelphia CT Ste R
Lanham, MD 20706-4435
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38-3876389 | Medicaid | MD | |
| 383876389 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.29 of 100
- Quality
- 73.37
- Improvement activities
- 40
- Cost
- 83.13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supportive Care of Maryland LLC | Current | Accepting new patients | |
| Perfect Solutions Mental Health and Wellness | Current | Accepting new patients |
Locations
8955 Edmonston Rd
Ste E
Greenbelt, MD 20770
Phone (301) 295-5165
4409 East West Hwy
Riverdale Park, MD 20737
Phone (301) 699-2000
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greenbelt, MD
- NPI 1023763349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1841708849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9701 PHILADELPHIA CT STE R",
"city": "LANHAM",
"state": "MD",
"postal_code": "207064435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 ANNAPOLIS RD",
"city": "LANHAM",
"state": "MD",
"postal_code": "207062060",
"telephone_number": "301-364-8827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DZIEKETEY",
"first_name": "CHARITY",
"middle_name": "A",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-12",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "17522",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "17522",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38-3876389",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "383876389",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.