NPIMap

Organization Active NPI

Jewish Community Services, Inc

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1023000320
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JEWISH COMMUNITY SERVICES, INC
Practice address
5750 Park Heights Ave
Baltimore, MD 21215-3930
Phone
(410) 843-7447
Fax
(410) 664-0551
NPI assigned
Aug 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Joan Roth
Title
Chief Financial Officer
Phone
(410) 843-7387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5750 Park Heights Ave
Baltimore, MD 21215-3930

Mailing address

5750 Park Heights Ave
Baltimore, MD 21215-3930
Phone (410) 843-7447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040114000183 MD Part B Supplier - Clinic/Group Practice 0345141362 Receives reassigned benefits from 15 practitioners
1 other NPI on this enrollment
Practice locations: Baltimore, MD; Owings Mills, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Jewish Community Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10630 Little Patuxent Pkwy
Ste 401
Columbia, MD 21044
Phone (410) 466-9200

8950 State Route 108
Ste 115
Columbia, MD 21045
Phone (410) 466-9200

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1023000320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 PARK HEIGHTS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153930",
            "telephone_number": "410-843-7447",
            "fax_number": "410-664-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 PARK HEIGHTS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153930",
            "telephone_number": "410-843-7447",
            "fax_number": "410-664-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH COMMUNITY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "410-843-7387"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.