Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Theodore Michener, LCSW-C

Individual provider Clinical Social Worker · NPI 1144886011

Theodore Michener, LCSW-C is a Clinical Social Worker in Landover, Maryland. Qualified in 2006, 20 years ago. Practices with Optum Behavioral Care of North Carolina PC, a 176-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
20
Licensed in
MD
In the registry since
2019
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Practice location Address checks out

903 Brightseat Rd
Landover, MD 20785-4725
Phone: (301) 333-2980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 19774 (MD)

Record details

NPI number1144886011
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-C
Sole proprietorYes
NPI enumeratedMay 15, 2019
Last updated in NPPESJuly 7, 2021
Certification dateJuly 7, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Optum Behavioral Care Of North Carolina Pc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Landover