Individual provider Active NPI

Jennifer Katzen Mansir, LCSW-C

  • Clinical Social Worker
  • Catonsville, MD
National Provider Identifier
1104919950
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12440 Issued in MD
Practice address
324 Greenlow Rd
Catonsville, MD 21228-1836
Phone
(443) 851-0366
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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 12440 MD Primary

Addresses

Primary practice location

324 Greenlow Rd
Catonsville, MD 21228-1836

Mailing address

324 Greenlow Rd
Catonsville, MD 21228-1836
Phone (443) 851-0366

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1104919950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GREENLOW RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281836",
            "telephone_number": "443-851-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 GREENLOW RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281836",
            "telephone_number": "443-851-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSIR",
        "first_name": "JENNIFER",
        "middle_name": "KATZEN",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.