Jade J Bellamy, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17319 Issued in MD

Practice address

1201 Agora Dr
Suite LB-2
Bel Air, MD 21014-6859

Phone

(410) 303-5432

NPI assigned

Apr 24, 2014

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

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1174943468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 AGORA DR",
            "address_2": "SUITE LB-2",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210146859",
            "telephone_number": "410-303-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 AGORA DR",
            "address_2": "SUITE LB-2",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210146859",
            "telephone_number": "410-303-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLAMY",
        "first_name": "JADE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bel Air Surgical and Vein Center, LLC
• Bel Air Volunteer Fire Company, Inc.
• Bel Care, Inc.
• Belair Womens Care
• Makenzie Worthington Belak, PT, DPT
• Bellarmine Corp.
• Tiffani Kristine Belleggia, COTA/L
• Bello Cognitive Therapy, LLC
• Maria Bello, PSYD
• Latoya Belton, PMHNP

• Clinical Social Worker in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.