Downloadable HSCSN Provider Directories
If you would prefer to look at the entire list of primary care and specialty providers within the HSCSN network, you can download the Provider Directory.
Selecting a Doctor or Dentist
Choosing your Primary Care Provider (PCP) and dentist is one of the most important things you will do as an enrollee. If you have not chosen a doctor yet, use these steps to get started.
Step One: Think about the needs of your family
- Do you want to keep your current doctor or dentist? Check to see if your doctors are part of the HSCSN network. If so, you may keep that doctor.
- Is it important for doctors to be close to home or work?
- Do you prefer one hospital to another? Download the list on this page or call Customer Care at (202) 467-2737 or 1 (866) 937-4549 for a list of hospitals where primary care providers (PCPs) and dentists can send patients for treatment.
- Some doctors may not be taking new patients. HSCSN will let you know if you need to pick a different doctor.
Step Two: Choose a PCP and dentist for every HSCSN enrollee in your family
- See what health care services HSCSN covers »
- If your current doctors or dentists are not part of the HSCSN network, download the provider list to find a provider in our network.
- There may be HSCSN enrollees in your family who don’t have a PCP or dentist. You can choose one from the list of doctors above.
If you have a question about whether HSCSN covers certain health care, call Customer Care at (202) 467-2737 or 1 (866) 937-4549.
If you need to change your PCP or Dentist
You can change your PCP or dentist anytime, for any reason. To do this:
- Download the list on this page to find a new PCP or dentist.
- Call your Care Manager to let them know which doctor or dentist you have selected as your new PCP.
Health Care Services Covered by HSCSN

See what health care services are covered by the HSCSN health plan.
Renee Kleris, MD
Gender Female
Mon-Fri 8:30A - 5P
Renee Kleris also speaks English
5028 Wisconsin Avenue, NW
Washington, DC 20016
Get Directions
Children's National - Friendship Heights-ROC
Children's National Hospital
Ward 3
Additional Information
Renee Kleris is ADA Accessible
Renee Kleris is
Accepting new patients
Renee Kleris is Near public transportation
Renee Kleris has Cultural competency
Janice Krupnick, PHD
Gender Female
Mon-Fri 8:30A - 5P
Janice Krupnick also speaks French
2115 Wisconsin Avenue, NW
Suite 200
Washington, DC 20007
Get Directions
MedStar Georgetown University Hospital
MedStar Georgetown University Hospital
Ward 3
Additional Information
Janice Krupnick is ADA Accessible
Janice Krupnick is
Accepting new patients
Janice Krupnick is Near public transportation
Janice Krupnick has Cultural competency
Judith Kupersmith, MD
Gender Female
Mon-Fri 8:30A - 5P
Judith Kupersmith also speaks English
2115 Wisconsin Avenue, NW
Suite 200
Washington, DC 20007
Get Directions
Georgetown Psychiatry Group
MedStar Georgetown University Hospital
Ward 3
Additional Information
Judith Kupersmith is ADA Accessible
Judith Kupersmith is
Accepting new patients
Judith Kupersmith is Near public transportation
Judith Kupersmith has Cultural competency
Randala Lakkis, MD
Gender Female
Mon-Fri 8:30A - 5P
Randala Lakkis also speaks English
4200 Wisconsin Avenue, NW
4th Floor
Washington, DC 20016
Get Directions
MedStar Georgetown Pediatrics
MedStar Georgetown University Hospital
Ward 3
Additional Information
Randala Lakkis is ADA Accessible
Randala Lakkis is
Accepting new patients
Randala Lakkis is Near public transportation
Randala Lakkis has Cultural competency
Chelsia Latney, SLP
Gender Female
Mon-Fri 9A - 5P, Sat 9A - 12P
Chelsia Latney also speaks English
4900 Massachusetts Avenue, NW
Suite 340
Washington, DC 20016
Get Directions
Triumph Therapeutics
None
Ward 3
Additional Information
Chelsia Latney is ADA Accessible
Chelsia Latney is
Accepting new patients
Chelsia Latney is Near public transportation
Erica Law, DPT
Gender Female
Mon-Fri 8:30A - 5P
Erica Law also speaks Cantonese
4900 Massachusetts Avenue, NW
Suite 340
Washington, DC 20016
Get Directions
Triumph Therapeutics
None
Ward 3
Additional Information
Erica Law is ADA Accessible
Erica Law is
Accepting new patients
Erica Law is Near public transportation
Erica Law has Cultural competency
Pamela Lieber, LICSW
Gender Female
Mon-Fri 8:30A - 5P
Pamela Lieber also speaks English
4201 Connecticut Avenue, NW
Suite 300
Washington, DC 20008
Get Directions
The Wendt Center for Loss and Hearing
None
Ward 3
Additional Information
Pamela Lieber is ADA Accessible
Pamela Lieber is
Accepting new patients
Pamela Lieber is Near public transportation
Pamela Lieber has Cultural competency
Rachel Lipman, SLP
Gender Female
Tue-Fri 9A - 6P
Rachel Lipman also speaks English
5185 Macarthur Boulevard, NW
Unit 101
Washington, DC 20016
Get Directions
Building Blocks Therapy
None
Ward 3
Additional Information
Rachel Lipman is ADA Accessible
Rachel Lipman is
Accepting new patients
Rachel Lipman is Near public transportation
Rachel Lipman has Cultural competency
Kara Lowinger, LICSW
Gender Female
Mon-Fri 8:30A - 5P
Kara Lowinger also speaks English
2115 Wisconsin Avenue, NW
Suite 200
Washington, DC 20007
Get Directions
Georgetown Psychiatry Group
MedStar Georgetown University Hospital
Ward 3
Additional Information
Kara Lowinger is ADA Accessible
Kara Lowinger is
Accepting new patients
Kara Lowinger is Near public transportation
Kara Lowinger has Cultural competency
Denise Marlatte, FNP
Gender Female
Mon-Fri 8:30A - 5P
Denise Marlatte also speaks English
3301 New Mexico Avenue, NW
Suite 248
Washington, DC 20016
Get Directions
MedStar Medical Group Gastroenterology
MedStar Georgetown University Hospital
Ward 3
Additional Information
Denise Marlatte is ADA Accessible
Denise Marlatte is
Accepting new patients
Denise Marlatte is Near public transportation
Denise Marlatte has Cultural competency
Denise Marlatte, FNP
Gender Female
Mon-Fri 8:30A - 5P
Denise Marlatte also speaks English
3800 Reservoir Road, NW
Main Building 2nd Floor
Washington, DC 20007
Get Directions
MedStar Medical Group Gastroenterology
MedStar Georgetown University Hospital
Ward 3
Additional Information
Denise Marlatte is ADA Accessible
Denise Marlatte is
Accepting new patients
Denise Marlatte is Near public transportation
Denise Marlatte has Cultural competency
Mediatrix Mbamalu, MBBS
Gender Female
Mon-Fri 8:30A - 5P
Mediatrix Mbamalu also speaks English
4200 Wisconsin Avenue
Suite 200
Washington, DC 20016
Get Directions
Georgetown University Hospital
MedStar Georgetown University Hospital
Ward 3
Additional Information
Mediatrix Mbamalu is ADA Accessible
Mediatrix Mbamalu is
Accepting new patients
Mediatrix Mbamalu is Near public transportation
Mediatrix Mbamalu has Cultural competency
Erica Mcclaskey, MD
Gender Female
4910 Massachusetts Avenue, NW
Suite 115
Washington, DC 20016
Get Directions
MGMC
MedStar Georgetown University Hospital
Ward 3
Additional Information
Erica Mcclaskey is ADA Accessible
Erica Mcclaskey is
Accepting new patients
Erica Mcclaskey is Near public transportation
Erica Mcclaskey has Cultural competency
Megan McCormick, PHD
Gender Female
Mon-Fri 8:30A - 5P
Megan McCormick also speaks English
2115 Wisconsin Avenue, NW
Suite 200
Washington, DC 20007
Get Directions
Georgetown Psychiatry Group
None
Ward 3
Additional Information
Megan McCormick is ADA Accessible
Megan McCormick is
Accepting new patients
Megan McCormick is Near public transportation
Megan McCormick has Cultural competency
Ruby Mehta, MD
Gender Female
Mon-Fri 8:30A - 5P
Ruby Mehta also speaks English
4200 Wisconsin Avenue, NW
4th Floor
Washington, DC 20016
Get Directions
MedStar Georgetown University Hospital
MedStar Georgetown University Hospital
Ward 3
Additional Information
Ruby Mehta is ADA Accessible
Ruby Mehta is
Accepting new patients
Ruby Mehta is Near public transportation
Ruby Mehta has Cultural competency
Aparna K. Miano, MD
Gender Female
3301 New Mexico Avenue, NW
Suite 248
Washington, DC 20016
Get Directions
MGMC
None
Ward 3
Additional Information
Aparna K. Miano is ADA Accessible
Aparna K. Miano is
Accepting new patients
Aparna K. Miano is Near public transportation
Aparna K. Miano has Cultural competency
Alana Miguel, SLP
Gender Female
Mon-Fri 8:30A - 5P
Alana Miguel also speaks English
3801 Connecticut Avenue, NW
Suite 100
Washington, DC 20008
Get Directions
Coastal Healthcare Services
None
Ward 3
Additional Information
Alana Miguel is ADA Accessible
Alana Miguel is
Accepting new patients
Alana Miguel is Near public transportation
Alana Miguel has Cultural competency
Ivonne Miranda, LPC
Gender Female
Mon/Thu 9A - 7:30P, Fri 9A - 12P
Ivonne Miranda also speaks Spanish
4201 Connecticut Avenue, NW
Suite 300
Washington, DC 20008
Get Directions
The Wendt Center for Loss and Hearing
None
Ward 3
Additional Information
Ivonne Miranda is ADA Accessible
Ivonne Miranda is
Accepting new patients
Ivonne Miranda is Near public transportation
Ivonne Miranda has Cultural competency
Quiana Mitchem, SLP
Gender Female
Mon/Thu 9A - 7P, Tu, W, Fri 8:30A - 6P
Quiana Mitchem also speaks English
3801 Connecticut Avenue, NW
Suite 100
Washington, DC 20008
Get Directions
Coastal Healthcare Services
None
Ward 3
Additional Information
Quiana Mitchem is ADA Accessible
Quiana Mitchem is
Accepting new patients
Quiana Mitchem is Near public transportation
Quiana Mitchem has Cultural competency
Eileen Moore, MD
Gender Female
Mon-Fri 8:30A - 5P
Eileen Moore also speaks English
2233 Wisconsin Avenue, NW
3rd Floor
Washington, DC 20016
Get Directions
MedStar Georgetown University Hospital
MedStar Georgetown University Hospital
Ward 3
Additional Information
Eileen Moore is ADA Accessible
Eileen Moore is
Accepting new patients
Eileen Moore is Near public transportation
Eileen Moore has Cultural competency
Robyn Morris, SLP
Gender Female
Mon-Fri 8:30A - 5P
Robyn Morris also speaks English
Adolescents, Autism Spectrum Disorders, Children, Co-occurring Disorders, People with Disabilities, Physical Disabilities, Play Therapy
5185 Macarthur Boulevard, NW
Unit 101
Washington, DC 20016
Get Directions
Building Blocks Therapy
None
Ward 3
Additional Information
Robyn Morris is ADA Accessible
Robyn Morris is
Accepting new patients
Robyn Morris is Near public transportation
Robyn Morris has Cultural competency
Elizabeth Mosca, PA-C
Gender Female
Mon-Fri 8:30A - 5P
Elizabeth Mosca also speaks English
5255 Loughboro Road, NW
Washington, DC 20016
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 3
Additional Information
Elizabeth Mosca is ADA Accessible
Elizabeth Mosca is
Accepting new patients
Elizabeth Mosca is Near public transportation
Elizabeth Mosca has Cultural competency
Jennifer Murray, MD
Gender Female
Mon-Fri 8:30A - 5P
Jennifer Murray also speaks English
4200 Wisconsin Avenue, NW
4th Floor
Washington, DC 20016
Get Directions
MedStar Georgetown University Hospital
MedStar Georgetown University Hospital
Ward 3
Additional Information
Jennifer Murray is ADA Accessible
Jennifer Murray is
Accepting new patients
Jennifer Murray is Near public transportation
Jennifer Murray has Cultural competency
Lisa Murray, ABA
Gender Female
Mon-Fri 8:30A - 5P
Lisa Murray also speaks English
4200 Wisconsin Ave NW
Suite 106-212
Washington, DC 20016-2143
Get Directions
Continnum Behavioral Health
None
Ward 3
Additional Information
Lisa Murray is ADA Accessible
Lisa Murray is
Accepting new patients
Lisa Murray is Near public transportation
Lisa Murray has Cultural competency
Audrey Neff, LICSW
Gender Female
Mon-Fri 8:30A - 5P
Audrey Neff also speaks English
4200 Wisconsin Avenue, NW
4th Floor
Washington, DC 20016
Get Directions
MedStar Georgetown Pediatrics
MedStar Georgetown University Hospital
Ward 3
Additional Information
Audrey Neff is ADA Accessible
Audrey Neff is
Accepting new patients
Audrey Neff is Near public transportation
Audrey Neff has Cultural competency
Rebecca Neshkes, PHD
Gender Female
Mon-Fri 8:30A - 5P
Rebecca Neshkes also speaks English
5028 Wisconsin Avenue, NW
Washington, DC 20016
Get Directions
Children's National - Friendship Heights-ROC
Children's National Hospital
Ward 3
Additional Information
Rebecca Neshkes is ADA Accessible
Rebecca Neshkes is
Accepting new patients
Rebecca Neshkes is Near public transportation
Rebecca Neshkes has Cultural competency
Leah Orta Nieves, MD
Gender Female
Mon-Fri 8:30A - 5P
Leah Orta Nieves also speaks Spanish
4200 Wisconsin Avenue, NW
4th Floor
Washington, DC 20016
Get Directions
MedStar Georgetown University Hospital
MedStar Georgetown University Hospital
Ward 3
Additional Information
Leah Orta Nieves is ADA Accessible
Leah Orta Nieves is
Accepting new patients
Leah Orta Nieves is Near public transportation
Leah Orta Nieves has Cultural competency
Meredith Ouellette, SLP
Gender Female
Mon-Fri 8:30A - 5P
Meredith Ouellette also speaks Sign Language
4880 Mcarthur Boulevard, NW
Washington, DC 20007
Get Directions
Potomac River Clinic
None
Ward 3
Additional Information
Meredith Ouellette is ADA Accessible
Meredith Ouellette is
Accepting new patients
Meredith Ouellette is Near public transportation
Meredith Ouellette has Cultural competency
Xiaoxi Ouyang, MD
Gender Female
Mon-Fri 8:30A - 5P
Xiaoxi Ouyang also speaks English
4200 Wisconsin Avenue, NW
4th Floor
Washington, DC 20016
Get Directions
GUH Kids Mobile Medical Clinic
MedStar Georgetown University Hospital
Ward 3
Additional Information
Xiaoxi Ouyang is ADA Accessible
Xiaoxi Ouyang is
Accepting new patients
Xiaoxi Ouyang is Near public transportation
Xiaoxi Ouyang has Cultural competency
Yancy Padilla, LICSW
Gender Female
Mon-Fri 8:30A - 5P
Yancy Padilla also speaks English
2115 Wisconsin Avenue, NW
Suite 200
Washington, DC 20007
Get Directions
Georgetown Psychiatry Group
MedStar Washington Hospital Center
Ward 3
Additional Information
Yancy Padilla is ADA Accessible
Yancy Padilla is
Accepting new patients
Yancy Padilla is Near public transportation
Yancy Padilla has Cultural competency
Ami Patel, MD
Gender Female
Mon-Fri 8:30A - 5P
Ami Patel also speaks English
4200 Wisconsin Avenue, NW
2nd Floor Suite 400
Washington, DC 20016
Get Directions
MedStar Georgetown University Hospital
MedStar Georgetown University Hospital
Ward 3
Additional Information
Ami Patel is ADA Accessible
Ami Patel is
Accepting new patients
Ami Patel is Near public transportation
Ami Patel has Cultural competency
Nimi Patel, PT
Gender Female
Mon-Fri 9A - 6P
Nimi Patel also speaks English
3801 Connecticut Avenue, NW
Suite 100
Washington, DC 20008
Get Directions
Coastal Healthcare Services
None
Ward 3
Additional Information
Nimi Patel is ADA Accessible
Nimi Patel is
Accepting new patients
Nimi Patel is Near public transportation
Aima Kheru Men Payton, FNP
Gender Female
Mon-Fri 8:30A - 5P
Aima Kheru Men Payton also speaks English
2228 Martin Luther Jr Ave SE
Washington, DC 20020
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 3
Additional Information
Aima Kheru Men Payton is ADA Accessible
Aima Kheru Men Payton is
Accepting new patients
Aima Kheru Men Payton is Near public transportation
Aima Kheru Men Payton has Cultural competency
Nicole Perras, MD
Gender Female
Mon-Fri 8:30A - 5P
Nicole Perras also speaks English
2115 Wisconsin Avenue, NW
Suite 200
Washington, DC 20007
Get Directions
Georgetown Psychiatry Group
MedStar Georgetown University Hospital
Ward 3
Additional Information
Nicole Perras is ADA Accessible
Nicole Perras is
Accepting new patients
Nicole Perras is Near public transportation
Nicole Perras has Cultural competency
Martha Perry, MD
Gender Female
Mon-Fri 8:30A - 5P
Martha Perry also speaks Spanish
5028 Wisconsin Avenue, NW
Washington, DC 20016
Get Directions
Children's National - Friendship Heights-ROC
Children's National Hospital
Ward 3
Additional Information
Martha Perry is ADA Accessible
Martha Perry is
Accepting new patients
Martha Perry is Near public transportation
Martha Perry has Cultural competency
Tiana Perry (Formely Booth), ABA
Gender Female
Mon-Fri 9A - 6:30P
Tiana Perry (Formely Booth) also speaks English
3801 Connecticut Avenue, NW
Suite 110
Washington, DC 20008
Get Directions
Coastal Healthcare Services
None
Ward 3
Additional Information
Tiana Perry (Formely Booth) is ADA Accessible
Tiana Perry (Formely Booth) is
Accepting new patients
Tiana Perry (Formely Booth) is Near public transportation
Tiana Perry (Formely Booth) has Cultural competency
Leah Pettiford, NP
Gender Female
Mon-Fri 8:30A - 5P
Leah Pettiford also speaks English
5028 Wisconsin Avenue, NW
Washington, DC 20016
Get Directions
Children's National - Friendship Heights-ROC
Children's National Hospital
Ward 3
Additional Information
Leah Pettiford is ADA Accessible
Leah Pettiford is
Accepting new patients
Leah Pettiford is Near public transportation
Leah Pettiford has Cultural competency
Elizabeth Pickup, MD
Gender Female
Mon-Fri 8:30A - 5P
Elizabeth Pickup also speaks English
5028 Wisconsin Avenue, NW
Washington, DC 20016
Get Directions
Children's National - Friendship Heights-ROC
Children's National Hospital
Ward 3
Additional Information
Elizabeth Pickup is ADA Accessible
Elizabeth Pickup is
Accepting new patients
Elizabeth Pickup is Near public transportation
Elizabeth Pickup has Cultural competency
Maria Portela-Martinez, MD
Gender Female
Mon-Fri 8:30A - 5P
Maria Portela-Martinez also speaks Spanish
2902 Porter Street, NW
Washington, DC 20008
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 3
Additional Information
Maria Portela-Martinez is ADA Accessible
Maria Portela-Martinez is
Accepting new patients
Maria Portela-Martinez is Near public transportation
Maria Portela-Martinez has Cultural competency
Madhumathi Rao, MD
Gender Female
Mon-Fri 8:30A - 5P
Madhumathi Rao also speaks English
2115 Wisconsin Avenue, NW
Suite 200
Washington, DC 20007
Get Directions
Georgetown Physician Group
MedStar Georgetown University Hospital
Ward 3
Additional Information
Madhumathi Rao is ADA Accessible
Madhumathi Rao is
Accepting new patients
Madhumathi Rao is Near public transportation
Madhumathi Rao has Cultural competency
Sruthi Reddy, MD
Gender Female
Mon-Fri 8:30A - 5P
Sruthi Reddy also speaks English
2233 Wisconsin Avenue, NW
3rd Floor
Washington, DC 20016
Get Directions
MedStar Georgetown University Hospital
MedStar Georgetown University Hospital
Ward 3
Additional Information
Sruthi Reddy is ADA Accessible
Sruthi Reddy is
Accepting new patients
Sruthi Reddy is Near public transportation
Sruthi Reddy has Cultural competency
Julia Reid, AUD
Gender Female
Mon-Fri 8A - 5P
Julia Reid also speaks English
4880 Mcarthur Boulevard, NW
Washington, DC 20007
Get Directions
Potomac River Clinic
None
Ward 3
Additional Information
Julia Reid is ADA Accessible
Julia Reid is
Accepting new patients
Janine Rethy, MD
Gender Female
Mon-Fri 8:30A - 5P
Janine Rethy also speaks English
4200 Wisconsin Avenue, NW
2nd Floor Suite 400
Washington, DC 20016
Get Directions
MedStar Georgetown University Hospital
MedStar Georgetown University Hospital
Ward 3
Additional Information
Janine Rethy is ADA Accessible
Janine Rethy is
Accepting new patients
Janine Rethy is Near public transportation
Janine Rethy has Cultural competency
Kelly Ridgway, CPNP
Gender Female
Mon-Fri 8:30A - 5P
Kelly Ridgway also speaks English
5255 Loughboro Road, NW
Washington, DC 20016
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 3
Additional Information
Kelly Ridgway is ADA Accessible
Kelly Ridgway is
Accepting new patients
Kelly Ridgway is Near public transportation
Kelly Ridgway has Cultural competency
Tessa Roberts, PT
Gender Female
Mon-Fri 9A - 6P
Tessa Roberts also speaks English
Adolescents, Autism Spectrum Disorder, Children, People with Disabilities, Physcial Disabilities
3801 Connecticut Avenue, NW
Suite 100
Washington, DC 20008
Get Directions
Coastal Healthcare Services
None
Ward 3
Additional Information
Tessa Roberts is ADA Accessible
Tessa Roberts is
Accepting new patients
Tessa Roberts is Near public transportation
Tessa Roberts has Cultural competency
Linda Rozzelle, RD
Gender Female
Mon-Fri 8:30A - 5P
Linda Rozzelle also speaks English
2233 Wisconsin Avenue, NW
3rd Floor
Washington, DC 20016
Get Directions
MedStar Georgetown University Hospital
MedStar Georgetown University Hospital
Ward 3
Additional Information
Linda Rozzelle is ADA Accessible
Linda Rozzelle is
Accepting new patients
Linda Rozzelle is Near public transportation
Linda Rozzelle has Cultural competency
Georgette Saad, LICSW
Gender Female
Mon-Fri 8:30A - 5P
Georgette Saad also speaks English
4200 Wisconsin Avenue, NW
4th Floor
Washington, DC 20016
Get Directions
MedStar Georgetown Pediatrics
MedStar Georgetown University Hospital
Ward 3
Additional Information
Georgette Saad is ADA Accessible
Georgette Saad is
Accepting new patients
Georgette Saad is Near public transportation
Georgette Saad has Cultural competency
Medina Salami, PA-C
Gender Female
Mon-Fri 8:30A - 5P
Medina Salami also speaks English
5215 Loughboro Road, NW
Suite 210
Washington, DC 20016
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 3
Additional Information
Medina Salami is ADA Accessible
Medina Salami is
Accepting new patients
Medina Salami is Near public transportation
Medina Salami has Cultural competency
Jocelyn Sappington, OT
Gender Female
Mon-Fri 9A - 6P
Jocelyn Sappington also speaks English
3801 Connecticut Avenue, NW
Suite 100
Washington, DC 20008
Get Directions
Coastal Healthcare Services
None
Ward 3
Additional Information
Jocelyn Sappington is ADA Accessible
Jocelyn Sappington is
Accepting new patients
Jocelyn Sappington is Near public transportation
Mihika Sathe, MD
Gender Female
Mon-Fri 8:30A - 5P
Mihika Sathe also speaks English
2233 Wisconsin Avenue, NW
Fl 3
Washington, DC 20007
Get Directions
MedStar Georgetown University Hospital
MedStar Georgetown University Hospital
Ward 3
Additional Information
Mihika Sathe is ADA Accessible
Mihika Sathe is
Accepting new patients
Mihika Sathe is Near public transportation
Mihika Sathe has Cultural competency