Jessica Ann Harrison, LCSW-C

Individual provider Active NPI Clinical Social Worker · Halethorpe, MD

NPI 1124622014 · NPPES record last updated Jul 13, 2023

Key facts

NPI
1124622014
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
21961 (MD)
Practice address
2700 Washington Ave
Halethorpe, MD 21227-3115
Phone
(667) 600-3984
Fax
(667) 600-4065
NPI assigned
Nov 23, 2020
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Catholic Charities Inc (42 clinicians)

Practice addresses (Care Compare)

2700 Washington Ave
Villa Maria Behavioral Health Clinic at Lan
Halethorpe, MD 21227-3115
Phone (667) 600-3984

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230728002707 MD Practitioner - Clinical Social Worker 2163883752 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
21961MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Catholic Charities, Inc. Current
since Dec 5, 2025
Accepting new patients

Locations

2700 Washington Ave
Lansdowne, MD 21227
Phone (667) 600-3984

2300 Dulaney Valley Rd
Ste B
Timonium, MD 21093

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 21961 MD Yes

Addresses

Primary practice location

2700 Washington Ave
Halethorpe, MD 21227-3115

Mailing address

5062 Judicial Way
Frederick, MD 21703-4807
Phone (908) 227-8864

Other providers in Halethorpe, MD

All providers in Halethorpe, MD · Clinical Social Worker in Maryland

Sources for this page

Verify at the official NPI Registry.