WELLCARE MEDICAL CLINIC LLC
NPI 1528794401
Clinic/Center - Mental Health (Including Community Mental Health Center) in Gambrills, MD

Active since July 25, 2022CLIA 21D2255006 · Waiver
1438 DEFENSE HWY STE 102, GAMBRILLS, MD 21054(443) 875-3766 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wellcare Medical Clinic Llc NPPES

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

WELLCARE MEDICAL CLINIC LLC (NPI 1528794401) is a healthcare organization registered as a mental health (including community mental health center) in Gambrills, Maryland and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through March 8, 2028 and lists Sadia Cheema, Provider, as its authorized official.

NPPES Registry Identity

NPI1528794401
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameWELLCARE MEDICAL CLINIC LLC
Location Address1438 DEFENSE HWY STE 102Gambrills, MD 21054-2021
Mailing Address1438 Defense Hwy Ste 102Gambrills, MD 21054-2021 · (443) 875-3766
Organization SubpartNo
Authorized OfficialSadia CheemaProvider · (443) 875-3766
Enumeration DateJuly 25, 2022
NPPES CertifiedJuly 25, 2022
NPI 1528794401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1438 DEFENSE HWY STE 102, Gambrills, MD 21054

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2255006

Wellcare Medical Clinic, LLC · Gambrills, MD
Active · expires Mar 8, 2028
CLIA Number21D2255006
Laboratory TypeCertified Rn Practitioner
Certificate Effective DateMarch 9, 2026
Certificate Expiration DateMarch 8, 2028
Laboratory DirectorSadia Cheema
Laboratory Phone(443) 875-3766
Laboratory LocationWellcare Medical Clinic, LLC1438 Defense Highway Ste 102, Gambrills, MD 21054
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Psychiatric/Mental Health)
1438 DEFENSE HWY STE 102
GAMBRILLS, MD 21054
Clinic/Center (Primary Care)
1438 DEFENSE HWY STE 102
GAMBRILLS, MD 21054

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 Wellcare Medical Clinic LLC's NPI number?

The NPI number for Wellcare Medical Clinic LLC is 1528794401. It was assigned to this organization in the NPPES registry on July 25, 2022.

Where is Wellcare Medical Clinic LLC located?

Wellcare Medical Clinic LLC is located at 1438 Defense Hwy Ste 102, Gambrills, MD 21054. The listed phone number is (443) 875-3766.

What is Wellcare Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Wellcare Medical Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2255006) is associated with this NPI, valid through March 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wellcare Medical Clinic LLC was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.