Destinie Statum, LMSW
NPI 1669172623 · Clinical Social Worker · Edgewater, MD
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Destinie Statum, LMSW is a Clinical Social Worker provider in Edgewater, MD (NPI 1669172623).
Provider details
- NPI number
- 1669172623
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- License
- 27255 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2023-03-08
- Last updated
- 2023-03-08
- Certified
- 2023-03-08
Frequently asked questions
- What is Destinie Statum's NPI number?
- Destinie Statum's National Provider Identifier (NPI) is 1669172623, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Destinie Statum's specialty?
- Destinie Statum is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Destinie Statum located?
- Destinie Statum's practice location on file with NPPES is 2600 Solomons Island Rd, Edgewater, MD 21037-1102.
- What is Destinie Statum's phone number?
- The practice phone number listed in the NPPES registry for Destinie Statum is (443) 433-5900.
- Does Destinie Statum accept Medicare?
- Destinie Statum is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Destinie Statum's NPI active?
- Yes — Destinie Statum's NPI (1669172623) is active in the NPPES registry as of the last update on 2023-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.