Active NPI
Fatu Alpha Conteh, LCSW-C
- Clinical Social Worker
- Cheverly, MD
National Provider Identifier
1891801874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1041C0700X
- Practice address
- 6490 Landover Rd
Suite I
Cheverly, MD 20785-1443 - Phone
- (301) 583-7888
- Fax
- (301) 583-7888
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1041C0700X | MD | Primary |
Addresses
Primary practice location
6490 Landover Rd
Suite I
Cheverly, MD 20785-1443
Mailing address
1317 Fern St NW
Washington, DC 20012-2331
Phone (202) 726-0998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432162600 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211116000948 | DC | Practitioner - Clinical Social Worker | 1951790880 | Practice locations: Cheverly, MD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1041C0700X | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1891801874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 FERN ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200122331",
"telephone_number": "202-726-0998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6490 LANDOVER RD",
"address_2": "SUITE I",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "207851443",
"telephone_number": "301-583-7888",
"fax_number": "301-583-7888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTEH",
"first_name": "FATU",
"middle_name": "ALPHA",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2022-07-21",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "1041C0700X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432162600",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cheverly, MD
- Leeroy Mark Clarke, M.D.
- Azeh Estel Cobbi
- Elizabeth Adetutu Coker-Nnam, M.A, NCC, LCPC
- Hope B Coleman, PHARM.D
- Keesha Devonne Collins-Griffin, LCPC
- Crawford Consulting and Mental Health Services, Inc.
- Crawford Consulting and Mental Health Services, Inc.
- Demarest Crawl, DSW, LCSW-C, LICSW
- Jeffery Crayton
- Stephanie A Crockett, LGPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.