Individual provider Active NPI

Jennifer E Voorhaar, LCSW-C

  • Clinical Social Worker
  • Leonardtown, MD
National Provider Identifier
1013291962
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14786 Issued in MD
Practice address
23140 Moakley St Ste 6
Leonardtown, MD 20650-2931
Phone
(301) 690-8404
NPI assigned
Oct 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 14786 MD Primary

Addresses

Primary practice location

23140 Moakley St Ste 6
Leonardtown, MD 20650-2931

Mailing address

PO Box 2514
Leonardtown, MD 20650-8514
Phone (301) 481-3451

Other identifiers 1

IdentifierTypeStateIssuer
589561800MedicaidMD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240316000412 MD Practitioner - Clinical Social Worker 0547606220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope and Healing Psychotherapy LLCGroup PAC ID 9638515315, 8 clinicians

Practice addresses (Care Compare)

23140 Moakley St
Suite 6
Leonardtown, MD 20650-2931
Phone (301) 690-8404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14786MDMDPastoral Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope and Healing Psychotherapy, LLC Clinical CurrentSince Feb 13, 2024 Accepting new patients

Locations

23140 Moakley St
Ste 6
Leonardtown, MD 20650
Phone (301) 481-8088

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1013291962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2514",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206508514",
            "telephone_number": "301-481-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23140 MOAKLEY ST STE 6",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502931",
            "telephone_number": "301-690-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOORHAAR",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "589561800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonardtown, MD

Sources for this page

Verify at the official NPI Registry.