Active NPI
Sarah Jacques, LCSW-C
- Social Worker
- Ellicott City, MD
National Provider Identifier
1164150652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 29018
- Practice address
- 5026 Dorsey Hall Dr Ste 205
Ellicott City, MD 21042-7854 - Phone
- (410) 402-5615
- NPI assigned
- Aug 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 29018 | MD | Primary |
Addresses
Primary practice location
5026 Dorsey Hall Dr Ste 205
Ellicott City, MD 21042-7854
Mailing address
2012 Druid Hill Ave
Baltimore, MD 21217-3518
Phone (240) 520-2913
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29018 | Other | MD | MARYLAND DEPARTMENT OF HEALTH |
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 |
|---|---|---|---|
| 29018 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1164150652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2012 DRUID HILL AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212173518",
"telephone_number": "240-520-2913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5026 DORSEY HALL DR STE 205",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210427854",
"telephone_number": "410-402-5615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACQUES",
"first_name": "SARAH",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-11",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "29018",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND DEPARTMENT OF HEALTH",
"identifier": "29018",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.