Individual provider Active NPI

Chitra Jayachandran, LCSW-C

  • Clinical Social Worker
  • North Potomac, MD
National Provider Identifier
1932586500
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17663 Issued in MD
Practice address
13111 Moran CT
North Potomac, MD 20878
Phone
(301) 977-0824
NPI assigned
May 1, 2015
Last updated
Oct 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151005003092 DC Practitioner - Clinical Social Worker 1850609264 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17663MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ramesh Kumar Thapar Mdpa CurrentSince Aug 1, 2025 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

Verify at the official NPI Registry.