Individual provider Active NPI

Falisha Marie Jankiewicz-Redenbaugh, LCSW-C

  • Clinical Social Worker
  • Dundalk, MD
National Provider Identifier
1013437631
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14763 Issued in MD
Practice address
2205 Searles Rd
Dundalk, MD 21222-3216
Phone
(410) 404-7713
NPI assigned
Jun 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14763 MD Primary

Addresses

Primary practice location

2205 Searles Rd
Dundalk, MD 21222-3216

Mailing address

2205 Searles Rd
Dundalk, MD 21222-3216
Phone (410) 404-7713

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
I20180416001177 MD Practitioner - Clinical Social Worker 9830452325 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind Therapy LLC Clinical CurrentSince Jul 24, 2022 Accepting new patients
Renewal Counseling Center, Inc Clinical CurrentSince Aug 9, 2020 Accepting new patients
Renewal Counseling Center, Inc Clinical CurrentSince Apr 1, 2018 Accepting new patients

Locations

2230 Old Emmorton Rd
Bel Air, MD 21015
Phone (410) 529-2151

201 Eastern Blvd
Essex, MD 21221

9414 Belair Rd
Ste 201
Nottingham, MD 21236
Phone (410) 529-2151

Organizations & group practices 3

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": "1498262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013437631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 SEARLES RD",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212223216",
            "telephone_number": "410-404-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 SEARLES RD",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212223216",
            "telephone_number": "410-404-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANKIEWICZ-REDENBAUGH",
        "first_name": "FALISHA",
        "middle_name": "MARIE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dundalk, MD

Sources for this page

Verify at the official NPI Registry.