Jannah W Asaad
Individual provider Active NPI Social Worker · Largo, MD
NPI 1972113116 · NPPES record last updated Sep 30, 2020
Key facts
- NPI
- 1972113116
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 26169 (MD)
- Practice address
- 1330 McCormick Dr
Largo, MD 20774-5398 - Phone
- (301) 772-1200
- NPI assigned
- Aug 3, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26169 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Foundation Schools | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 26169 | MD | Yes |
Addresses
Primary practice location
1330 McCormick Dr
Largo, MD 20774-5398
Mailing address
1330 McCormick Dr
Largo, MD 20774-5398
Phone (301) 772-1200
Other practice location 1
1604 Oaklawn Ct
Silver Spring, MD 20903-1415
Phone (240) 630-9691
Other providers in Largo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.