Active NPI
Jenna Moenius, LCSWC
- Clinical Social Worker
- Hagerstown, MD
National Provider Identifier
1407139470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16056
- Practice address
- 10435 Downsville Pike
Hagerstown, MD 21740-1732 - Phone
- (301) 766-8222
- NPI assigned
- Sep 26, 2011
- 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 | 16056 | MD | Primary |
Addresses
Primary practice location
10435 Downsville Pike
Hagerstown, MD 21740-1732
Mailing address
13121 Brooklane Dr
Hagerstown, MD 21742-1514
Phone (301) 733-0330
Other practice location 1
701 W Pratt St
Baltimore, MD 21201-1023
Phone (410) 328-5881
Other practice location 2
13215 Brook Lane
Hagerstown, MD 21742
Phone (301) 733-0330
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16056 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington County Early Intervention | Past | Accepting new patients | |
| Board of Education of Washington County | Clinical | 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.
-
- Local Education Agency (LEA)
- Hagerstown, MD
- NPI 1336276682
Clinical
-
- Speech-Language Pathologist
- Hagerstown, MD
- NPI 1417082959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545350400000",
"number": "1407139470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13121 BROOKLANE DR",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217421514",
"telephone_number": "301-733-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10435 DOWNSVILLE PIKE",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217401732",
"telephone_number": "301-766-8222"
}
],
"practiceLocations": [
{
"address_1": "701 W Pratt St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212011023",
"country_code": "US",
"telephone_number": "410-328-5881",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13215 Brook Lane",
"address_purpose": "LOCATION",
"city": "Hagerstown",
"state": "MD",
"postal_code": "21742",
"country_code": "US",
"telephone_number": "301-733-0330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOENIUS",
"first_name": "JENNA",
"credential": "LCSWC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-26",
"last_updated": "2018-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "16056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.