Jorge Dionisio, LCSW-C
Individual provider Active NPI Clinical Social Worker · Cabin John, MD
NPI 1982056321 · NPPES record last updated Mar 10, 2025
Key facts
- NPI
- 1982056321
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 20075 (MD)
- Practice address
- 7945 Macarthur Blvd Ste 226
Cabin John, MD 20818-1634 - Phone
- (240) 364-4241
- Fax
- (240) 982-5113
- NPI assigned
- Jul 11, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Gaithersburg, MD 20877
Phone (240) 364-4241
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210304001935 | DC | Practitioner - Clinical Social Worker | 5698181352 | Practice locations: Gaithersburg, MD |
| I20210414001825 | MD | Practitioner - Clinical Social Worker | 5698181352 | Practice locations: Gaithersburg, MD |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20075 | MD | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 20075 | MD | |
| Clinical Social Worker | 1041C0700X | 20075 | MD | Yes |
Addresses
Primary practice location
7945 Macarthur Blvd Ste 226
Cabin John, MD 20818-1634
Mailing address
7945 Macarthur Blvd Ste 226
Cabin John, MD 20818-1634
Phone (240) 364-4241
Other providers in Cabin John, MD
- Change Academy at Lake of the Ozarks
- Walda Lynne Ciafone
- Mary Louise Craver
- Dipika Satyen Daga
- Heather Gail Dailey
- Sylvia Alexandra Edelstein
- Patric Colin Farrell
- Adam Freidfertig
- Patricia Frischtak
- Glow Wellness LLC
All providers in Cabin John, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.