Individual provider Active NPI

Janine Fesler

  • Clinical Social Worker
  • Columbia, MD
National Provider Identifier
1083658504
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002994 Issued in GA
Practice address
5046 Southern Star Ter
Columbia, MD 21044-1293
Phone
(443) 354-0834
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 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 002994 GA Primary

Addresses

Primary practice location

5046 Southern Star Ter
Columbia, MD 21044-1293

Mailing address

5046 Southern Star Ter
Columbia, MD 21044-1293
Phone (443) 354-0834

Other names 1

  • Janine Byrnes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2024 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
002994GAMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Charter Counseling Clinical CurrentSince Feb 11, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: janinefesler@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1083658504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5046 SOUTHERN STAR TER",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210441293",
            "telephone_number": "443-354-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5046 SOUTHERN STAR TER",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210441293",
            "telephone_number": "443-354-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FESLER",
        "first_name": "JANINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "002994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANINE",
            "last_name": "BYRNES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.