Maria Jose Jeronimo Allen, LCSW-C
Individual provider Active NPI Social Worker · Columbia, MD
NPI 1154850337 · NPPES record last updated Feb 19, 2024
Key facts
- NPI
- 1154850337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 5291 Columbia Rd
Columbia, MD 21044-5511 - Phone
- (301) 708-9064
- NPI assigned
- Jun 9, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
5291 Columbia Rd
Columbia, MD 21044-5511
Mailing address
5291 Columbia Rd
Columbia, MD 21044-5511
Phone (301) 708-9064
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.