Organization Active NPI

Client First Health Solutions, LLC

  • Clinical Social Worker
  • Annapolis, MD
National Provider Identifier
1144856295
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CLIENT FIRST HEALTH SOLUTIONS, LLC
Practice address
1714 Winchester Rd
Annapolis, MD 21409-5851
Phone
(703) 346-6772
NPI assigned
Mar 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Authorized official

Name
Jerren PellicanoNPI 1588189047
Title
Principal
Phone
(703) 346-6772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1714 Winchester Rd
Annapolis, MD 21409-5851

Mailing address

PO Box 80
Arnold, MD 21012-0080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200416002528 MD Part B Supplier - Clinic/Group Practice 1456781368 Receives reassigned benefits from 1 practitioner
Practice locations: Annapolis, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584662400000",
    "number": "1144856295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210120080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 WINCHESTER RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214095851",
            "telephone_number": "703-346-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIENT FIRST HEALTH SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A",
        "authorized_official_last_name": "PELLICANO",
        "authorized_official_first_name": "JERREN",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "703-346-6772"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.