FADES GWAN
NPI 1912704594
Case Manager/Care Coordinator in Hyattsville, MD

Active since February 28, 2025
3811 64TH AVE, HYATTSVILLE, MD 20784(240) 978-1285 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Fades Gwan NPPES

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

FADES GWAN (NPI 1912704594) is an individual case manager/care coordinator provider in Hyattsville, Maryland and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1912704594
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameFADES GWAN
Location Address3811 64TH AVEHyattsville, MD 20784-1818
Mailing Address3811 64th AveHyattsville, MD 20784-1818 · (240) 978-1285
Sole ProprietorYes
Enumeration DateFebruary 28, 2025
NPPES CertifiedFebruary 28, 2025
NPI 1912704594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

3811 64TH AVE, Hyattsville, MD 20784

Other Providers at the Same Location NPPES

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

Community Health Worker
3811 64TH AVE, APT 4
HYATTSVILLE, MD 20784

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 Fades Gwan's NPI number?

The NPI number for Fades Gwan is 1912704594. It was assigned to this individual provider in the NPPES registry on February 28, 2025.

Where is Fades Gwan located?

Fades Gwan practices at 3811 64th Ave, Hyattsville, MD 20784. The listed phone number is (240) 978-1285.

What is Fades Gwan's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Fades Gwan was last updated on February 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.