Individual provider Active NPI

Jesse James Jarman, LCSW-C

  • Clinical Social Worker
  • Berlin, MD
National Provider Identifier
1235354937
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19010 Issued in MD
Practice address
52 Quarter Staff PL
Berlin, MD 21811-1677
Phone
(443) 614-9674
NPI assigned
Apr 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 19010 MD Primary

Addresses

Primary practice location

52 Quarter Staff PL
Berlin, MD 21811-1677

Mailing address

52 Quarter Staff PL
Berlin, MD 21811-1677
Phone (443) 614-9674

Other practice location 1

Berlin Health Center
9730 Healthway Drive
Berlin, MD 21811
Phone (410) 629-0164

Other practice location 2

10514 Racetrack Rd Ste G
Berlin, MD 21811-3241
Phone (410) 973-2301

Other identifiers 1

IdentifierTypeStateIssuer
705371101MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160601000184 MD Practitioner - Clinical Social Worker 9234429473 Practice locations: Berlin, MD
I20250221001369 DC Practitioner - Clinical Social Worker 9234429473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Berlin, MD 21811
Phone (443) 513-1967

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19010MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jan 17, 2025 Accepting new patients
Empathecary Wellness, LLC Clinical CurrentSince Feb 23, 2025 Accepting new patients
Ocean Front Counseling Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1235354937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 QUARTER STAFF PL",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111677",
            "telephone_number": "443-614-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 QUARTER STAFF PL",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111677",
            "telephone_number": "443-614-9674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Berlin Health Center",
            "address_2": "9730 Healthway Drive",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "MD",
            "postal_code": "21811",
            "country_code": "US",
            "telephone_number": "410-629-0164",
            "fax_number": "410-629-0185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10514 Racetrack Rd Ste G",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "MD",
            "postal_code": "218113241",
            "country_code": "US",
            "telephone_number": "410-973-2301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARMAN",
        "first_name": "JESSE",
        "middle_name": "JAMES",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "705371101",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

Verify at the official NPI Registry.