MRS. GENEVIVE WUTANG
NPI 1700483310
Community/Behavioral Health in Upper Marlboro, MD

Active since October 06, 2020
12423 RONALD BEALL RD, UPPER MARLBORO, MD 20774(240) 828-9004 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 7, 2023, Oct 6, 2020 (2 updates tracked since 2020).

About Mrs. Genevive Wutang NPPES

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

MRS. GENEVIVE WUTANG (NPI 1700483310) is an individual community/behavioral health provider in Upper Marlboro, Maryland and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1700483310
Entity TypeIndividualFemale
Primary Taxonomy251S00000X
Provider Legal NameMRS. GENEVIVE WUTANG
Location Address12423 RONALD BEALL RDUpper Marlboro, MD 20774-5686
Mailing Address6103 Erika PlGlenn Dale, MD 20769-9220 · (240) 828-9004
Sole ProprietorYes
Enumeration DateOctober 6, 2020
Last NPPES UpdateJuly 7, 20232 updates tracked since enumeration
NPPES CertifiedJuly 7, 2023
NPI 1700483310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedHome Health AideTaxonomy 374U00000X
12423 RONALD BEALL RD, Upper Marlboro, MD 20774

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 Genevive Wutang's NPI number?

The NPI number for Genevive Wutang is 1700483310. It was assigned to this individual provider in the NPPES registry on October 6, 2020.

Where is Genevive Wutang located?

Genevive Wutang practices at 12423 Ronald Beall Rd, Upper Marlboro, MD 20774. The listed phone number is (240) 828-9004.

What is Genevive Wutang's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Genevive Wutang was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.