Jennifer Leigh Carroll, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09180 Issued in MD

Practice address

41900 Fenwick St
Suite #1
Leonardtown, MD 20650-3814

Phone

(301) 475-9660

Fax

(301) 475-8810

NPI assigned

Oct 1, 2009

Last updated

Oct 1, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psychological Services Center, LLCGroup PAC ID 3971544289, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psychological Services Center, LLC

  • Counselor
  • Leonardtown, MD
  • NPI 1215043666
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254355200000",
    "number": "1184958522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41900 FENWICK ST",
            "address_2": "SUITE #1",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503814",
            "telephone_number": "301-475-9660",
            "fax_number": "301-475-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41900 FENWICK ST",
            "address_2": "SUITE #1",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503814",
            "telephone_number": "301-475-9660",
            "fax_number": "301-475-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Capital Foot & Ankle Care Centre, PA (Leonardtown Foot & Ankle)
• Cardiology Associates, LLC
• Kamala Kay Carlsen, MS CCC/SLP
• Carol a. Paris, M.D. & Associates, L.L.C.
• Amy Rebecca Carpio, DPT
• Paula Carson
• Sarah Carstens, NCSP
• Stefani K Castro, LCSW
• Marlon Catequista
• Elizabeth Lee Cavanagh, PTA

• Clinical Social Worker in Leonardtown, MD
• Providers in Leonardtown, 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 Oct 1, 2009; 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.