Active NPI
Jalisa Hill
- Social Worker
- Bel Air, MD
National Provider Identifier
1295487668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LC50082622
- Practice address
- 1208 E Churchville Rd Ste 300
Bel Air, MD 21014-3485 - Phone
- (410) 893-4600
- Fax
- (443) 640-4358
- NPI assigned
- Jan 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | LC50082622 | DC | Primary |
Addresses
Primary practice location
1208 E Churchville Rd Ste 300
Bel Air, MD 21014-3485
Mailing address
748 Chatsworth Dr
Accokeek, MD 20607-2055
Phone (240) 280-5114
Other practice location 1
748 Chatsworth Dr
Accokeek, MD 20607-2055
Phone (240) 280-5114
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 |
|---|---|---|---|
| LC50082622 | DC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Harbor Christian Counseling LLC | Social Worker | Past | Accepting new patients |
| Safe Harbor Behavioral Care, LLC | Social Worker | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Bel Air, MD
- NPI 1316487879
-
- Clinical Social Worker
- Bel Air, MD
- NPI 1245377894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1295487668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "748 CHATSWORTH DR",
"city": "ACCOKEEK",
"state": "MD",
"postal_code": "206072055",
"telephone_number": "240-280-5114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 E CHURCHVILLE RD STE 300",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210143485",
"telephone_number": "410-893-4600",
"fax_number": "443-640-4358"
}
],
"practiceLocations": [
{
"address_1": "748 Chatsworth Dr",
"address_purpose": "LOCATION",
"city": "Accokeek",
"state": "MD",
"postal_code": "206072055",
"country_code": "US",
"telephone_number": "240-280-5114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HILL",
"first_name": "JALISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-26",
"last_updated": "2022-01-26",
"certification_date": "2022-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DC",
"license": "LC50082622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.