Jodi Lynn Dively, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12032 Issued in MD

Practice address

214 2ND Ave SW
Glen Burnie, MD 21061-3465

Phone

(443) 710-2324

NPI assigned

Mar 7, 2007

Last updated

Jan 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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 1

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Universal Counseling LLC

  • Clinical Social Worker
  • Glen Burnie, MD
  • NPI 1992418800
  Medicare reassignment NPD Authorized official
• Alternative Counseling & Wellness Center, LLC

  • Mental Health Counselor
  • Towson, MD
  • NPI 1164689576
  NPD

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1255461125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 2ND AVE SW",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 2ND AVE SW",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613465",
            "telephone_number": "443-710-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVELY",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212150600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mert Dinc, MD
• Caren Dinshah, PT
• Paule-Renee F Dion
• Chantelle Radmila Dishon, AU.D
• Darlene Yvonne Dittrich, LPN
• Shirley Patricia Dixon, RN
• Janice Nicole Doan, LCSW-C
• Doctor of Dentures LLC (Armani Dentures)
• Doctors First Professional Corporation (First Medical Associates)
• Doctors' Billing & Management Solutions, Inc

• Clinical Social Worker in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.