Active NPI
Jenifer Edelen, LMSW
- Social Worker
- Annapolis, MD
National Provider Identifier
1205575222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 31433
- Practice address
- 900 Bestgate Rd Ste 210
Annapolis, MD 21401-7922 - Phone
- (410) 267-3706
- NPI assigned
- May 27, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Social Worker | 104100000X | 31433 | MD | Primary |
Addresses
Primary practice location
900 Bestgate Rd Ste 210
Annapolis, MD 21401-7922
Mailing address
900 Bestgate Rd Ste 210
Annapolis, MD 21401-7922
Phone (410) 267-3706
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 |
|---|---|---|---|
| 31433 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1205575222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 BESTGATE RD STE 210",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017922",
"telephone_number": "410-267-3706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 BESTGATE RD STE 210",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017922",
"telephone_number": "410-267-3706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDELEN",
"first_name": "JENIFER",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-27",
"last_updated": "2024-06-27",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "31433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.