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DAVID JESSIE IDEMUDIA LCSW-C
NPI 1255962841
Social Worker in Glen Burnie, MD

Active since February 01, 2020PECOS Enrolled
200 HOSPITAL DR STE 300, GLEN BURNIE, MD 21061(410) 837-2050 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 1, 2021, Feb 1, 2020 (2 updates tracked since 2020).

About David Jessie Idemudia Lcsw-c NPPES

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

DAVID JESSIE IDEMUDIA LCSW-C (NPI 1255962841) is an individual social worker in Glen Burnie, Maryland, licensed in Maryland (24208) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255962841
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameDAVID JESSIE IDEMUDIACredential: LCSW-C
Location Address200 HOSPITAL DR STE 300Glen Burnie, MD 21061-5884
Mailing Address200 Hospital Dr Ste 500Glen Burnie, MD 21061-5887 · (410) 837-2050
Phone(410) 837-2050
Sole ProprietorNo
Enumeration DateFebruary 1, 2020
Last NPPES UpdateOctober 1, 20212 updates tracked since enumeration
NPPES CertifiedOctober 1, 2021
✔ NPI 1255962841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MD · 24208
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
200 HOSPITAL DR STE 300, Glen Burnie, MD 21061
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Jessie Idemudia Lcsw-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show David Idemudia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chase Brexton Health Services, Inc.
11 mi
Federally Qualified Health Center (FQHC)
1111 NORTH CHARLES STREET
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • 213 clinicians in this Medicare group
NPI 1588606305 (410) 837-2050

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

Other Providers at the Same Location NPPES 17

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

MEGHANN MULHERIN
Social Worker (Clinical)
200 HOSPITAL DR STE 300
GLEN BURNIE, MD 21061
Anne Arundel County (410) 837-2050
DR. RISA D. KRAMER MD
Family Medicine
200 HOSPITAL DR STE 300
GLEN BURNIE, MD 21061
Anne Arundel County (410) 837-2050
LISA LESANE
Nurse Practitioner (Family)
200 HOSPITAL DR STE 300
GLEN BURNIE, MD 21061
Anne Arundel County (410) 837-2050
CEMIA SMITH LMSW
Social Worker
200 HOSPITAL DR STE 300
GLEN BURNIE, MD 21061
Anne Arundel County (410) 837-2050
COURTNAY MECCA MS, CNS, LDN
Nutritionist
200 HOSPITAL DR STE 300
GLEN BURNIE, MD 21061
Anne Arundel County (410) 837-2050
CHASE BREXTON HEALTH SERVICES, INC.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
200 HOSPITAL DR STE 300
GLEN BURNIE, MD 21061
Anne Arundel County (410) 837-2050
FELICIA SEAY APRN
Nurse Practitioner
200 HOSPITAL DR STE 300
GLEN BURNIE, MD 21061
Anne Arundel County (410) 837-2050
SARA TADIOS MUNIE PHARM.D.
Pharmacist (Ambulatory Care)
200 HOSPITAL DR STE 300
GLEN BURNIE, MD 21061
Anne Arundel County (305) 557-7331

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 David Idemudia's NPI number?

The NPI number for David Idemudia is 1255962841. It was assigned to this individual provider in the NPPES registry on February 1, 2020.

Where is David Idemudia located?

David Idemudia practices at 200 Hospital Dr Ste 300, Glen Burnie, MD 21061. The listed phone number is (410) 837-2050.

What is David Idemudia's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is David Idemudia enrolled in Medicare?

Yes. David Idemudia is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Idemudia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Idemudia reassigns Medicare benefits to Chase Brexton Health Services, Inc. (Baltimore, MD). The 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 David Idemudia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Idemudia was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.