DESTINIE JANERIO STATUM LMSW
NPI 1669172623
Social Worker - Clinical in Edgewater, MD

Active since March 08, 2023PECOS Enrolled
2600 SOLOMONS ISLAND RD, EDGEWATER, MD 21037(443) 433-5900(410) 841-6045 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Destinie Janerio Statum Lmsw NPPES

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

DESTINIE JANERIO STATUM LMSW (NPI 1669172623) is an individual clinical provider in Edgewater, Maryland, licensed in Maryland (27255) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1669172623
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDESTINIE JANERIO STATUMCredential: LMSW
Location Address2600 SOLOMONS ISLAND RDEdgewater, MD 21037-1102
Mailing Address2600 Solomons Island RdEdgewater, MD 21037-1102 · (443) 433-5900 · Fax (410) 841-6045
Fax(410) 841-6045
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 8, 2023
NPPES CertifiedMarch 8, 2023
NPI 1669172623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MD · 27255
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.

2600 SOLOMONS ISLAND RD, Edgewater, MD 21037

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Destinie Janerio Statum Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446758791
PECOS Enrollment IDI20251010004300
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.73 – $183.44
Typical copayment $0.00 (range $15.18 – $45.86)
Most-billed visit code NA
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Counselor (Professional)
2600 SOLOMONS ISLAND RD
EDGEWATER, MD 21037
Community/Behavioral Health
2600 SOLOMONS ISLAND RD
EDGEWATER, MD 21037
Counselor (Professional)
2600 SOLOMONS ISLAND RD
EDGEWATER, MD 21037
Counselor (Professional)
2600 SOLOMONS ISLAND RD
EDGEWATER, MD 21037
Social Worker (Clinical)
2600 SOLOMONS ISLAND RD
EDGEWATER, MD 21037
Social Worker (Clinical)
2600 SOLOMONS ISLAND RD
EDGEWATER, MD 21037
Counselor (Professional)
2600 SOLOMONS ISLAND RD
EDGEWATER, MD 21037
Social Worker
2600 SOLOMONS ISLAND RD
EDGEWATER, MD 21037

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 Destinie Statum's NPI number?

The NPI number for Destinie Statum is 1669172623. It was assigned to this individual provider in the NPPES registry on March 8, 2023.

Where is Destinie Statum located?

Destinie Statum practices at 2600 Solomons Island Rd, Edgewater, MD 21037. The listed phone number is (443) 433-5900.

What is Destinie Statum's specialty?

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

Is Destinie Statum enrolled in Medicare?

Yes. Destinie Statum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Destinie Statum was last updated on March 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.