Jill Bangert, LCSWC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

04549 Issued in MD

Practice address

9811 Mallard Dr
Suite 209
Laurel, MD 20708

Phone

(301) 776-9492

Fax

(301) 625-0864

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073683025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 MALLARD DR",
            "address_2": "209",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20708",
            "telephone_number": "301-776-9492",
            "fax_number": "301-625-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 MALLARD DR",
            "address_2": "SUITE 209",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20708",
            "telephone_number": "301-776-9492",
            "fax_number": "301-625-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGERT",
        "first_name": "JILL",
        "credential": "LCSWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "04549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Bruce Baker, M.D.
• Susan M Baker, DSC
• Catrice J Ballard, MS, LAT, ATC
• Thomas John Balles, LAC LICENSED ACUPUNC
• Hee Sang Bang, M. AC. L.AC.
• Marrian Bangura
• Memuna Bangura
• Rakiatu Adama Bangura
• Sazim Bangura
• Sharon Ann Banks-Geter, CPHT

• Clinical Social Worker in Laurel, MD
• Providers in Laurel, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.