DAVID PELLOM
NPI 1104538370
Case Manager/Care Coordinator in Washington, DC

Q: What is David Pellom's NPI number?

The NPI number for David Pellom is 1104538370. It was assigned to this individual provider in the NPPES registry on December 20, 2022.

Q: What is David Pellom's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for David Pellom was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 20, 2022

3300 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020(202) 878-6626 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2024, Dec 20, 2022 (2 updates tracked since 2022).

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About David Pellom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID PELLOM (NPI 1104538370) is an individual case manager/care coordinator provider in Washington, District Of Columbia and active in the NPI registry since December 2022. He maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1104538370

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameDAVID PELLOM

Location Address3300 PENNSYLVANIA AVE SEWashington, DC 20020-2408

Mailing Address3341 Benning Rd NeWashington, DC 20019-1502 · (202) 421-3901 · Fax (202) 543-2758

Phone(202) 878-6626

Sole ProprietorNo

Enumeration DateDecember 20, 2022

Last NPPES UpdateSeptember 20, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 20, 2024

✔ NPI 1104538370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

3300 PENNSYLVANIA AVE SE, Washington, DC 20020

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Secondary Practice Location 1

Location 13341 Benning Rd NEWashington, DC 20019-1502 · Phone (202) 421-3901 · Fax (202) 543-2758

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UMBRELLA THERAPEUTIC SERVICES, INC.

Community/Behavioral Health