Active NPI
Jeanine Aubertin, LCSW-C, LGADC
- Social Worker
- Frederick, MD
National Provider Identifier
1154630580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 14352
- Practice address
- 5948 Quinn Orchard Rd
Frederick, MD 21704-6622 - Phone
- (301) 514-5390
- NPI assigned
- Oct 4, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 14352 | MD | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 18787 | MD |
Addresses
Primary practice location
5948 Quinn Orchard Rd
Frederick, MD 21704-6622
Mailing address
5948 Quinn Orchard Rd
Frederick, MD 21704-6622
Phone (301) 514-5390
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18787 | MD | MD | Dentist |
| 14352 | MD | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473379200000",
"number": "1154630580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5948 QUINN ORCHARD RD",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217046622",
"telephone_number": "301-514-5390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5948 QUINN ORCHARD RD",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217046622",
"telephone_number": "301-514-5390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUBERTIN",
"first_name": "JEANINE",
"credential": "LCSW-C, LGADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-04",
"last_updated": "2016-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "14352",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MD",
"license": "18787",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
- Tatiana Atkinson
- Atman Community Support Services, Inc
- Atman Transport Services
- Atulkumar Purohit DDS LLC
- Jennifer Maybell Atwell, LCSW-C
- Audiological Associates, Inc. (Beltone Hearing Aid Center)
- Deborah M Austill, PA
- Austin Addiction & Mental Health Center
- Mary Elizabeth Austin, LCPC
- Paige Austin, LCPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.