Active NPI
Jade Lin Bean, LGSW
- Social Worker
- Cumberland, MD
National Provider Identifier
1003134362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 15185
- Practice address
- 12500 Willowbrook Rd
Cumberland, MD 21502-6393 - Phone
- (240) 964-8585
- Fax
- (240) 964-8586
- NPI assigned
- May 12, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 15185 | MD | Primary |
Addresses
Primary practice location
12500 Willowbrook Rd
Cumberland, MD 21502-6393
Mailing address
12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone (240) 964-8585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dorothy'S Place, LLC | Current | Accepting new patients | |
| Associated Catholic Charities, Inc | Current | Accepting new patients | |
| Associated Catholic Charities, Inc. | Current | Accepting new patients | |
| Associated Catholic Charities | Current | Accepting new patients |
Locations
308 Virginia Ave
Cumberland, MD 21502
Phone (667) 600-2110
2300 Dulaney Valley Rd
Ste B
Timonium, MD 21093
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1073639159
-
- Clinical Social Worker
- Cumberland, MD
- NPI 1427913185
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cumberland, MD
- NPI 1063677326
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1972066629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273622400000",
"number": "1003134362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12500 WILLOWBROOK RD",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215026393",
"telephone_number": "240-964-8585",
"fax_number": "240-964-8586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12500 WILLOWBROOK RD",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215026393",
"telephone_number": "240-964-8585",
"fax_number": "240-964-8586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAN",
"first_name": "JADE",
"middle_name": "LIN",
"credential": "LGSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-12",
"last_updated": "2010-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "15185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumberland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.