PACE HEALING CENTER
NPI 1255202255
Social Worker - Clinical in Glenn Dale, MD

Active since September 15, 2025
11706 WYNNIFRED PL, GLENN DALE, MD 20769(240) 422-4768 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 30, 2026, Sep 15, 2025 (2 updates tracked since 2025).

About Pace Healing Center NPPES

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

PACE HEALING CENTER (NPI 1255202255) is a healthcare organization registered as a clinical in Glenn Dale, Maryland and active in the NPI registry since September 2025. The organization lists Fatmata B Tejan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255202255
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePACE HEALING CENTER
Location Address11706 WYNNIFRED PLGlenn Dale, MD 20769-9482
Mailing Address11706 Wynnifred PlGlenn Dale, MD 20769-9482
Organization SubpartNo
Authorized OfficialFatmata B TejanCeo · (240) 422-4768
Enumeration DateSeptember 15, 2025
Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1255202255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
11706 WYNNIFRED PL, Glenn Dale, MD 20769

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pace Healing Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pace Healing Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1083313001
1221 TAYLOR ST NW
Washington, DC 20011
(202) 388-4300
✔ PECOS✔ Accepts Medicare13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pace Healing Center's NPI number?

The NPI number for Pace Healing Center is 1255202255. It was assigned to this organization in the NPPES registry on September 15, 2025.

Where is Pace Healing Center located?

Pace Healing Center is located at 11706 Wynnifred Pl, Glenn Dale, MD 20769. The listed phone number is (240) 422-4768.

What is Pace Healing Center's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Pace Healing Center enrolled in Medicare?

Yes. Pace Healing Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pace Healing Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Pace Healing Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pace Healing Center was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.