NPIMap

Organization Active NPI

Jennifer Clancy Birth Services, LLC

  • Community Health Worker
  • Waldorf, MD
National Provider Identifier
1013387984
Registry record updated Oct 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
JENNIFER CLANCY BIRTH SERVICES, LLC
Practice address
4666 Leonardtown Rd
Waldorf, MD 20601-3672
Phone
(856) 392-1646
NPI assigned
Oct 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2015

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

Authorized official

Name
Jennifer Lynn Clancy, M.A.NPI 1669842530
Title
Sole Member/Owner
Phone
(856) 392-1646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X
School CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YS0200X
Community Health WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 172V00000X Primary
Health EducatorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174H00000X
MidwifeGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 176B00000X
DoulaGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 374J00000X

Addresses

Primary practice location

4666 Leonardtown Rd
Waldorf, MD 20601-3672

Mailing address

4666 Leonardtown Rd
Waldorf, MD 20601-3672
Phone (856) 392-1646

Other names 1

  • Jennifer Clancy Birth Services Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1443916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443916800000",
    "number": "1013387984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4666 LEONARDTOWN RD",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206013672",
            "telephone_number": "856-392-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4666 LEONARDTOWN RD",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206013672",
            "telephone_number": "856-392-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER CLANCY BIRTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-04",
        "last_updated": "2015-10-04",
        "status": "A",
        "authorized_official_last_name": "CLANCY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "856-392-1646",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennifer Clancy Birth Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.