Individual provider Active NPI

Antonia Chantal Tsutsumi, MSW, LCSW-C

  • Clinical Social Worker
  • Silver Spring, MD
National Provider Identifier
1861766610
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18218 Issued in MD
Practice address
1398 Lamberton Dr
Silver Spring, MD 20902-3414
Phone
(301) 896-4453
NPI assigned
Feb 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 18218 MD Primary

Addresses

Primary practice location

1398 Lamberton Dr
Silver Spring, MD 20902-3414

Mailing address

2725 39TH St NW
Washington, DC 20007-1244
Phone (703) 861-9667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160804002431 DC Practitioner - Clinical Social Worker 8022302678 Reassigns benefits to 1 organization
I20240527000420 MD Practitioner - Clinical Social Worker 8022302678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arundel Mental Health Professionals LCGroup PAC ID 4981688173, 118 clinicians

Practice addresses (Care Compare)

1662 Village GRN
Crofton, MD 21114-2014
Phone (410) 757-2077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18218MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Montgomery, Inc. Current Accepting new patients
Cornerstone Montgomery, Inc. CurrentSince Jul 8, 2016 Accepting new patients
Arundel Mental Health Professionals L.C. CurrentSince Apr 20, 2024 Accepting new patients
Arundel Mental Health Professionals LLC PastSince Jul 31, 2022 Accepting new patients

Locations

1511 Ritchie Hwy
Ste 202
Arnold, MD 21012
Phone (410) 757-5184

6040 Southport Dr
Bethesda, MD 20814
Phone 3014934200228

1662 Village Grn
#B
Crofton, MD 21114

1662 Village Grn
Crofton, MD 21114
Phone 4107572077 ext. 8137

1662 Village Grn
Ste 100
Crofton, MD 21114

2410 Evergreen Rd
Ste 104
Gambrills, MD 21054

2 Taft Ct
Ste 200
Rockville, MD 20850
Phone (301) 715-3673

1398 Lamberton Dr
Silver Spring, MD 20902
Phone (301) 754-1102

Organizations & group practices 4

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": "1330128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1861766610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 39TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200071244",
            "telephone_number": "703-861-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1398 LAMBERTON DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209023414",
            "telephone_number": "301-896-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSUTSUMI",
        "first_name": "ANTONIA",
        "middle_name": "CHANTAL",
        "credential": "MSW, LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-25",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.