NPIMap

Organization Active NPI

J S Social Service, Inc

  • Clinical Social Worker
  • Brooklyn, MD
National Provider Identifier
1093024028
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
03868 Issued in MD
Legal business name
J S SOCIAL SERVICE, INC
Practice address
12 2ND Ave
Brooklyn, MD 21225-2711
Phone
(410) 609-0022
Fax
(410) 609-2042
NPI assigned
Sep 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Authorized official

Name
Thomas Jose
Title
President
Phone
(410) 609-0022

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 03868 MD Primary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 14520 MD

Addresses

Primary practice location

12 2ND Ave
Brooklyn, MD 21225-2711

Mailing address

12 2ND Ave
Brooklyn, MD 21225-2711
Phone (410) 609-0022

Other names 1

  • YOUTHTOWN USA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Apple Health System3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1093024028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 2ND AVE",
            "city": "BROOKLYN",
            "state": "MD",
            "postal_code": "212252711",
            "telephone_number": "410-609-0022",
            "fax_number": "410-609-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 2ND AVE",
            "city": "BROOKLYN",
            "state": "MD",
            "postal_code": "212252711",
            "telephone_number": "410-609-0022",
            "fax_number": "410-609-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J S SOCIAL SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "JOSE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-609-0022"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "03868",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14520",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YOUTHTOWN USA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.