Active NPI
Destiny Umoja, LMSW
- Social Worker
- Baltimore, MD
National Provider Identifier
1285433896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 26961
- Practice address
- 516 S Conkling St
Baltimore, MD 21224-4201 - Phone
- (410) 864-8874
- NPI assigned
- Mar 8, 2025
- Last updated
- Mar 8, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 26961 | MD | Primary |
Addresses
Primary practice location
516 S Conkling St
Baltimore, MD 21224-4201
Mailing address
6413 Laurel Dr
Gwynn Oak, MD 21207-6326
Phone (240) 883-1464
Other names 1
- Ms. Destiny Jefferson
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 |
|---|---|---|---|
| 26961 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741392000000",
"number": "1285433896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6413 LAUREL DR",
"city": "GWYNN OAK",
"state": "MD",
"postal_code": "212076326",
"telephone_number": "240-883-1464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 S CONKLING ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212244201",
"telephone_number": "410-864-8874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UMOJA",
"first_name": "DESTINY",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-08",
"last_updated": "2025-03-08",
"certification_date": "2025-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "26961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DESTINY",
"last_name": "JEFFERSON",
"prefix": "MS.",
"credential": "LMSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Baltimore, MD
- Umms Ambulatory Care LLC (University of Maryland Urgent Care-Rotunda)
- Umms Ambulatory Care LLC (University of Maryland Urgent Care-Belvedere)
- Usenobong Umoette
- Mfon Effiong Umoh, MD PHD
- Umoja Health System, LLC
- Ums Chesapeake Lithotripsy, LLC
- Opete Ruth Umukoro
- Uncaged Potential LLC
- Unconditional Care Assisted Living
- Carol Ellen Undank, LCSW-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.