Active NPI
Jennifer Nunez, LCSWC
- Social Worker
- Greenbelt, MD
National Provider Identifier
1255084562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 28106
- Practice address
- 6201 Greenbelt Road
U3
Greenbelt, MD 20770 - Phone
- (301) 747-7038
- NPI assigned
- Jan 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 20003010 | DC | |
| Clinical Social Worker | 1041C0700X | 28106 | MD | |
| Social Worker | 104100000X | 28106 | MD | Primary |
Addresses
Primary practice location
6201 Greenbelt Road
U3
Greenbelt, MD 20770
Mailing address
835 Stamford Rd
Baltimore, MD 21229-1223
Phone (410) 717-3600
Other practice location 1
8805 Columbia 100 Pkwy Ste 105
Columbia, MD 21045-2357
Phone (410) 639-5245
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56072536 | Other | MD | LIABILITY INSURANCE |
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 |
|---|---|---|---|
| 20003010 | DC | MD | Clinical Social Worker |
| 28106 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkhurst Associates MHS, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Washington, DC
- NPI 1558625269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1255084562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 STAMFORD RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212291223",
"telephone_number": "410-717-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6201 GREENBELT ROAD",
"address_2": "U3",
"city": "GREENBELT",
"state": "MD",
"postal_code": "20770",
"telephone_number": "301-747-7038"
}
],
"practiceLocations": [
{
"address_1": "8805 Columbia 100 Pkwy Ste 105",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MD",
"postal_code": "210452357",
"country_code": "US",
"telephone_number": "410-639-5245",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NUNEZ",
"first_name": "JENNIFER",
"credential": "LCSWC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-27",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "20003010",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "28106",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "28106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIABILITY INSURANCE",
"identifier": "56072536",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenbelt, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.