Organization Active NPI

Jill a Sergott-Pearce, LCSW-C, LLC

  • Clinical Social Worker
  • Westminster, MD
National Provider Identifier
1245892561
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JILL A SERGOTT-PEARCE, LCSW-C, LLC
Practice address
202 E Main St Ste 8
Westminster, MD 21157-5355
Phone
(443) 929-9220
NPI assigned
Jul 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Authorized official

Name
Jill A Sergott-Pearce, LCSW-CNPI 1154717205
Title
Owner
Phone
(443) 929-9220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

202 E Main St Ste 8
Westminster, MD 21157-5355

Mailing address

1012 Oak Dr
Westminster, MD 21158-3651
Phone (443) 929-9220

National Provider Directory

National Provider Directory

Locations

202 E Main St
Ste 8
Westminster, MD 21157
Phone (443) 929-9220

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1245892561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 OAK DR",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211583651",
            "telephone_number": "443-929-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E MAIN ST STE 8",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575355",
            "telephone_number": "443-929-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL A SERGOTT-PEARCE, LCSW-C, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "SERGOTT-PEARCE",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-929-9220",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.