Jean St Val, LGSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

G07869 Issued in MD

Practice address

426 Dorchester Ave
Cambridge, MD 21613-2446

Phone

(410) 228-3929

NPI assigned

Aug 12, 2014

Last updated

Aug 12, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Cambridge, MD
  • NPI 1215275466
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1366851693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 DORCHESTER AVE",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132446",
            "telephone_number": "410-228-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 DORCHESTER AVE",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132446",
            "telephone_number": "410-228-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST VAL",
        "first_name": "JEAN",
        "credential": "LGSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "G07869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Sorrells, LGPC
• Kassidy Jan Spencer
• Ekaterina Spirina, DDS
• Brittany Ann Spivey
• St of MD/DHMH Dorchester Co Health Dept (Dorchester Co School-Based Wellness Program)
• Doris Staeudle, PSYD
• Sharon Jennings Stagg, MS, CRNP
• State of Maryland - DHMH (Dorchester County Health Department)
• Danielle Steffan
• Stephen V. Wilkinson, DPM, LLC

• Social Worker in Cambridge, MD
• Providers in Cambridge, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.