Individual provider Active NPI

Cornealius Lashan Stamps, LCSW-C

  • Clinical Social Worker
  • Oxon Hill, MD
National Provider Identifier
1962709659
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22212 Issued in MD
Practice address
6710 Oxon Hill Rd Ste 210
Oxon Hill, MD 20745-1124
Phone
(240) 863-2820
NPI assigned
Feb 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW005048 GA
Clinical Social Worker 1041C0700X 22212 MD Primary

Addresses

Primary practice location

6710 Oxon Hill Rd Ste 210
Oxon Hill, MD 20745-1124

Mailing address

9300 Dewitt Loop
Fort Belvoir, VA 22060-5285
Phone (706) 825-5158

Other practice location 1

137 National Plz Ste 300
Oxon Hill, MD 20745-1153
Phone (240) 863-2820

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
I20200602001147 DC Practitioner - Clinical Social Worker 0244651164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6710 Oxon Hill Rd
Suite 210
Oxon Hill, MD 20745-1124
Phone (240) 863-2820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW005048GAMDClinical Social Worker
22212MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fortitude Counseling Center LLC Clinical CurrentSince Jun 1, 2020 Accepting new patients

Locations

6710 Oxon Hill Rd
Ste 210
Oxon Hill, MD 20745
Phone (202) 670-4546

137 National Plz
Ste 300
Oxon Hill, MD 20745
Phone (202) 903-4763

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1962709659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 DEWITT LOOP",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220605285",
            "telephone_number": "706-825-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 OXON HILL RD STE 210",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451124",
            "telephone_number": "240-863-2820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 National Plz Ste 300",
            "address_purpose": "LOCATION",
            "city": "Oxon Hill",
            "state": "MD",
            "postal_code": "207451153",
            "country_code": "US",
            "telephone_number": "240-863-2820",
            "fax_number": "240-525-2445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAMPS",
        "first_name": "CORNEALIUS",
        "middle_name": "LASHAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-16",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005048",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "22212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

Verify at the official NPI Registry.