Individual provider Active NPI

Jennifer Marie Maxfield-Decarlo, LCSW C

  • Social Worker
  • Bel Air, MD
National Provider Identifier
1376590414
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11153 Issued in MD
Practice address
260 Gateway Dr Ste 19C
Bel Air, MD 21014-4285
Phone
(410) 893-4600
Fax
(443) 640-4358
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 11153 MD Primary
Clinical Social Worker 1041C0700X 0904020401 VA

Addresses

Primary practice location

260 Gateway Dr Ste 19C
Bel Air, MD 21014-4285

Mailing address

1208 E Churchville Rd Ste 300
Bel Air, MD 21014-3485
Phone (410) 826-5542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160630000175 MD Practitioner - Clinical Social Worker 3678865292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Safe Harbor Behavioral Care LLCGroup PAC ID 0345514675, 81 clinicians

Practice addresses (Care Compare)

2227 Old Emmorton Rd
Suite 115
Bel Air, MD 21015-6190
Phone (410) 893-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Behavioral Care, LLC Social Worker CurrentSince Nov 1, 2018 Accepting new patients
Safe Harbor Christian Counseling LLC Social Worker CurrentSince May 10, 2016 Accepting new patients
The Care Group at Safe Harbor Social Worker PastSince Sep 1, 2016 Accepting new patients
Inspirit Counseling Services, Inc. Clinical PastSince Aug 21, 2012 Accepting new patients
The Care Group at Safe Harbor Social Worker Past Accepting new patients

Locations

2227 Old Emmorton Rd
Ste 119
Bel Air, MD 21015
Phone (410) 561-9497

260 Gateway Dr
Ste 19C
Bel Air, MD 21014

2227 Old Emmorton Rd
Ste 115
Bel Air, MD 21015
Phone (410) 589-0999

1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500

260 Gateway Dr
Ste 1112C
Bel Air, MD 21014

Organizations & group practices 5

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1376590414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 E CHURCHVILLE RD STE 300",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143485",
            "telephone_number": "410-826-5542",
            "fax_number": "443-640-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 GATEWAY DR STE 19C",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144285",
            "telephone_number": "410-893-4600",
            "fax_number": "443-640-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXFIELD-DECARLO",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "11153",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904020401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.