Active NPI
Chitra Jayachandran, LCSW-C
- Clinical Social Worker
- North Potomac, MD
National Provider Identifier
1932586500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 17663
- Practice address
- 13111 Moran CT
North Potomac, MD 20878 - Phone
- (301) 977-0824
- NPI assigned
- May 1, 2015
- Last updated
- Oct 11, 2018
- 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 | 17663 | MD | Primary |
Addresses
Primary practice location
13111 Moran CT
North Potomac, MD 20878
Mailing address
13111 Moran CT
North Potomac, MD 20878-3922
Phone (301) 977-0824
Other practice location 1
10813 Tara Rd
Potomac, MD 20854-1341
Phone (240) 351-5801
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17663 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ramesh Kumar Thapar Mdpa | Current | Accepting new patients |
Locations
604 S Frederick Ave
Ste 213
Gaithersburg, MD 20877
Phone (240) 498-7448
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539216000000",
"number": "1932586500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13111 MORAN CT",
"city": "NORTH POTOMAC",
"state": "MD",
"postal_code": "208783922",
"telephone_number": "301-977-0824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13111 MORAN CT",
"city": "NORTH POTOMAC",
"state": "MD",
"postal_code": "20878",
"telephone_number": "301-977-0824"
}
],
"practiceLocations": [
{
"address_1": "10813 Tara Rd",
"address_purpose": "LOCATION",
"city": "Potomac",
"state": "MD",
"postal_code": "208541341",
"country_code": "US",
"telephone_number": "240-351-5801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAYACHANDRAN",
"first_name": "CHITRA",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-01",
"last_updated": "2018-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "17663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.