OrganizationActive
Act IV
NPI 1023132230 · Case Management Agency · Brandywine, MD
Provider details
- NPI number
- 1023132230
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Tyrone Fizer, Vocational Specialist(202) 645-7256
- License
- F206809018964 (MD)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10951 Poplar Ridge Road
Brandywine, MD 20613
Phone: (301) 579-2482
Approximate (ZIP-level) locationGet directions
Mailing address
19051 Poplar Ridge Rd
Brandywine, MD 20613-3910
Other names (DBA / former)
- Doing business as
- Community Services Agency
Registry dates
- Enumerated
- 2007-03-16
- Last updated
- 2008-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.