Individual provider Active NPI

Jane L Krimmel, LCSW-C

  • Clinical Social Worker
  • Lutherville, MD
National Provider Identifier
1225051352
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06393 Issued in MD
Practice address
1447 York Rd Ste 506
Lutherville, MD 21093-6022
Phone
(410) 825-2281
Fax
(410) 825-2280
NPI assigned
Jul 26, 2006
Last updated
May 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 06393 MD
Clinical Social Worker 1041C0700X 06393 MD Primary

Addresses

Primary practice location

1447 York Rd Ste 506
Lutherville, MD 21093-6022

Mailing address

3756 Foxford Stream Rd
Baltimore, MD 21236-2900
Phone (443) 939-5850

Other identifiers 3

IdentifierTypeStateIssuer
T080-0023OtherMDGROUP HOSP.& MED. SERVICE
LICENSE 06393OtherMDLICENSE
544172-04OtherMDCAREFIRST

Other names 1

  • Ms. Jane Lenox Krimmel Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6393MDMDGeneral Practice Dentistry
06393MDMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Center of Maryland, PA Past Accepting new patients
Sheppard Pratt Physicians, P.a. PastSince Jan 1, 1995 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7494/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1225051352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3756 FOXFORD STREAM RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212362900",
            "telephone_number": "443-939-5850",
            "fax_number": "667-234-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 YORK RD STE 506",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936022",
            "telephone_number": "410-825-2281",
            "fax_number": "410-825-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIMMEL",
        "first_name": "JANE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "06393",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "06393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HOSP.& MED. SERVICE",
            "identifier": "T080-0023",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "LICENSE 06393",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "544172-04",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "KRIMMEL",
            "middle_name": "LENOX",
            "prefix": "MS.",
            "credential": "LCSW-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.