Active NPI
Nicole Jenkins, LCSW-C
- Clinical Social Worker
- Crownsville, MD
National Provider Identifier
1306527767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 30127
- Practice address
- 107 Circle Dr
Crownsville, MD 21032-2061 - Phone
- (833) 976-4357
- NPI assigned
- Jul 28, 2023
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 30127 | MD | Primary |
Addresses
Primary practice location
107 Circle Dr
Crownsville, MD 21032-2061
Mailing address
2007 Tidewater Colony Dr Ste 1a
Annapolis, MD 21401-2102
Phone (410) 294-9300
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 |
|---|---|---|---|
| 30127 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780185600000",
"number": "1306527767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 TIDEWATER COLONY DR STE 1A",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214012102",
"telephone_number": "410-294-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 CIRCLE DR",
"city": "CROWNSVILLE",
"state": "MD",
"postal_code": "210322061",
"telephone_number": "833-976-4357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "NICOLE",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-28",
"last_updated": "2026-05-31",
"certification_date": "2026-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "30127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crownsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.