Healthcare Provider Details

I. General information

NPI: 1619642584
Provider Name (Legal Business Name): ROBDETI GELETA LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2021
Last Update Date: 09/16/2023
Certification Date: 09/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7474 GREENWAY CENTER DR
GREENBELT MD
20770-3504
US

IV. Provider business mailing address

13027 BELLEVUE ST
BELTSVILLE MD
20705-3236
US

V. Phone/Fax

Practice location:
  • Phone: 301-345-1022
  • Fax:
Mailing address:
  • Phone: 240-723-6445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number27332
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: