Active NPI
Jill Allen Svrjcek, LCSW-C
- Clinical Social Worker
- Bel Air, MD
National Provider Identifier
1356863054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 04006
- Practice address
- 1201 Agora Dr Ste LB2
Bel Air, MD 21014-6863 - Phone
- (410) 836-7332
- NPI assigned
- Jul 13, 2017
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 04006 | MD | Primary |
Addresses
Primary practice location
1201 Agora Dr Ste LB2
Bel Air, MD 21014-6863
Mailing address
1204 Constantine CT
Bel Air, MD 21014-6838
Phone (410) 688-7671
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harford Counseling, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1499904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499904000000",
"number": "1356863054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 CONSTANTINE CT",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210146838",
"telephone_number": "410-688-7671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 AGORA DR STE LB2",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210146863",
"telephone_number": "410-836-7332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SVRJCEK",
"first_name": "JILL",
"middle_name": "ALLEN",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-13",
"last_updated": "2017-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "04006",
"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 Jul 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.