Herman Wallace Jones, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

03817 Issued in MD

Practice address

4416 Marriottsville Rd
Owings Mills, MD 21117-6127

Phone

(410) 363-7450

NPI assigned

Feb 24, 2022

Sex

Male

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)

Enrolled

Practice roles

Locations

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.

• Arise & Shine Health Center LLC

  • Community/Behavioral Health Agency
  • Glen Burnie, MD
  • NPI 1801580568
  NPD

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1083360325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4416 MARRIOTTSVILLE RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4416 MARRIOTTSVILLE RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176127",
            "telephone_number": "410-363-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "HERMAN",
        "middle_name": "WALLACE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "03817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyreece Genean Johnson
• Jonathan E Silverman DDS PC
• Priscilla Ophelia Jones-Mercer, LCSW-C; SAP;
• Christopher Jones, ADT
• Crystal B Jones, BEHAVIOR TECHNICIAN
• Keandra Jones, CPNP-PC, CRNP
• Keishawn Jones
• Mariah Jones
• Moinay Jones, BEHAVIOR TECHNICIAN
• Qiana Mia Jones, CPRP

• Clinical Social Worker in Owings Mills, MD
• Providers in Owings Mills, 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 Feb 24, 2022; 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.