Individual provider Active NPI

Anne Louise Jenkins, LCSW-C

  • Clinical Social Worker
  • Frederick, MD
National Provider Identifier
1154541126
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11904 Issued in MD
Practice address
604 Solarex CT
Suite 201
Frederick, MD 21703-7005
Phone
(301) 663-8263
Fax
(301) 682-5326
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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 11904 MD Primary

Addresses

Primary practice location

604 Solarex CT
Suite 201
Frederick, MD 21703-7005

Mailing address

6501 N Charles St
Baltimore, MD 21204-6819
Phone (410) 938-3464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414001687 MD Practitioner - Clinical Social Worker 5799770392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10210 Governor Lane Blvd
Unit 2005
Williamsport, MD 21795-4072
Phone (240) 366-1677

Merit-based Incentive Payment System (MIPS)

Final score
70.75 of 100Reported as group
Quality
42.65
Promoting interoperability
51
Improvement activities
40
Cost
84.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Community Services, Inc CurrentSince Jul 1, 2022 Accepting new patients
Mosaic Community Services, Inc. CurrentSince Jul 1, 2022 Accepting new patients
River Bend Wellness LLC Clinical CurrentSince Aug 13, 2023 Accepting new patients
Mosaic Community Services, Inc. Current Accepting new patients
Nephrology Center of Maryland, PA Past Accepting new patients

Locations

2225 N Charles St
Baltimore, MD 21218
Phone (410) 366-4360

604 Solarex Ct
Unit 201
Frederick, MD 21703
Phone (301) 663-8263

219 W Patrick St
#A
Frederick, MD 21701
Phone (301) 662-3223

210 Abrecht Pl
Frederick, MD 21701
Phone (301) 663-8263

6501 N Charles St
Towson, MD 21204
Phone (410) 938-3000

10210 Governor Lane Blvd
Unit 2005
Williamsport, MD 21795
Phone (240) 366-1132

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7494/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239926400000",
    "number": "1154541126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046819",
            "telephone_number": "410-938-3464",
            "fax_number": "410-938-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 SOLAREX CT",
            "address_2": "SUITE 201",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037005",
            "telephone_number": "301-663-8263",
            "fax_number": "301-682-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "ANNE",
        "middle_name": "LOUISE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2009-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.