Active NPI
Joy Debra Pearlman, LCSW LICENSED CLINIC
- Clinical Social Worker
- Baltimore, MD
National Provider Identifier
1043429889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13284
- Practice address
- 3602 Fords LN
Apt D
Baltimore, MD 21215-2916 - Phone
- (410) 764-2776
- NPI assigned
- May 21, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 13284 | MD | Primary |
| Clinical Social Worker | 1041C0700X | LCS 20850 | CA | |
| Clinical Social Worker | 1041C0700X | R0718721 | NY |
Addresses
Primary practice location
3602 Fords LN
Apt D
Baltimore, MD 21215-2916
Mailing address
3602 Fords LN
Apt D
Baltimore, MD 21215-2916
Phone (410) 764-2776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 20850 | CA | MD | Clinical Social Worker |
| R0718721 | NY | MD | Clinical Social Worker |
| 13284 | MD | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230854400000",
"number": "1043429889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3602 FORDS LN",
"address_2": "APT D",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212152916",
"telephone_number": "410-764-2776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3602 FORDS LN",
"address_2": "APT D",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212152916",
"telephone_number": "410-764-2776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARLMAN",
"first_name": "JOY",
"middle_name": "DEBRA",
"name_prefix": "Ms.",
"credential": "LCSW LICENSED CLINIC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2009-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "13284",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 20850",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R0718721",
"primary": false
}
],
"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 Jan 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.