Individual provider Active NPI

Jessica I Moran, LCSW-C

  • Clinical Social Worker
  • Oakland, MD
National Provider Identifier
1275196438
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16889 Issued in MD
Practice address
221 S 3Rd St
Oakland, MD 21550-1511
Phone
(301) 501-7441
Fax
(516) 740-2006
NPI assigned
Apr 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 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 16889 MD Primary

Addresses

Primary practice location

221 S 3Rd St
Oakland, MD 21550-1511

Mailing address

1966 Hutton Rd
Oakland, MD 21550-5222
Phone (301) 501-7441

Other practice location 1

1025 Memorial Dr
Oakland, MD 21550-4343
Phone (301) 334-7680

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240918004078 MD Practitioner - Clinical Social Worker 5991036899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garrett County Health DepartmentGroup PAC ID 0547239626, 14 clinicians

Practice addresses (Care Compare)

1025 Memorial Dr
Oakland, MD 21550-4343
Phone (301) 334-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Garrett County Health Department Current Accepting new patients
Garrett County Health Department CurrentSince Sep 11, 2024 Accepting new patients
Garrett County Health Dept-Substance Abuse CurrentSince Sep 11, 2024 Accepting new patients
Joyful Journeys Wellness, LLC Clinical PastSince Nov 18, 2025 Accepting new patients

Locations

1025 Memorial Dr
Oakland, MD 21550
Phone (301) 334-7680

Organizations & group practices 4

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": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1275196438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1966 HUTTON RD",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215505222",
            "telephone_number": "301-501-7441",
            "fax_number": "516-740-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S 3RD ST",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501511",
            "telephone_number": "301-501-7441",
            "fax_number": "516-740-2006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "MD",
            "postal_code": "215504343",
            "country_code": "US",
            "telephone_number": "301-334-7680",
            "fax_number": "301-334-7681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAN",
        "first_name": "JESSICA",
        "middle_name": "I",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, MD

Sources for this page

Verify at the official NPI Registry.