Jennifer Christina Correa-Elkins, LCSW-C

Primary specialty

Social WorkerTaxonomy code 104100000X

License

15821 Issued in MD

Practice address

217 Main Street
Suite B
Reisterstown, MD 21136-1213

Phone

(410) 833-0580

Fax

(410) 833-8604

NPI assigned

Apr 4, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 9

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Chesapeake Behavioral Health Center, LLCGroup PAC ID 5496762155, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Chesapeake Behavioral Health Center, LLC

  • Psychiatry Physician
  • Reisterstown, MD
  • NPI 1437118742
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1154610848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 MAIN ST",
            "address_2": "SUITE B",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361213",
            "telephone_number": "410-833-0581",
            "fax_number": "410-833-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 MAIN STREET",
            "address_2": "SUITE B",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361213",
            "telephone_number": "410-833-0580",
            "fax_number": "410-833-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA-ELKINS",
        "first_name": "JENNIFER",
        "middle_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "15821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "654033300",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM",
            "identifier": "000672794",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0009892665",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHSPRING",
            "identifier": "2182811",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "302000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN (HEALTHNET)",
            "identifier": "548306",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "600710604",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "K876-0006",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01547398",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josh Cooper
• Mandy Heisler Cornelius
• Brooke Faran Cornett, MSW, LCSW-C
• Luz J Correa-Cashdollar, R.N.
• Elsa Victoria Correa-Deleonardo, PMH-NP
• Elsa Isabel Correa, M.D.
• Roseanne Cousins, MD
• Covenant Nephrology LLC
• Craig G. Haber, M.D., LLC
• CRH MD Management LLC

• Social Worker in Reisterstown, MD
• Providers in Reisterstown, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.