Individual provider Active NPI

Jennifer Halter, LCSW-C

  • Clinical Social Worker
  • Salisbury, MD
National Provider Identifier
1417118167
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16382 Issued in MD
Practice address
108 E Main St
Salisbury, MD 21801-4921
Phone
(107) 423-7844
Fax
(410) 543-6680
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16382 MD Primary

Addresses

Primary practice location

108 E Main St
Salisbury, MD 21801-4921

Mailing address

108 E Main St
Salisbury, MD 21801-4921
Phone (410) 742-3784

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
I20210601000318 MD Practitioner - Clinical Social Worker 3870927775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

108 E Main St
Salisbury, MD 21801-4921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16382MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wicomico County Health Department CurrentSince Sep 17, 2023 Accepting new patients
Wicomico County Health Department CurrentSince Nov 8, 2019 Accepting new patients
Wicomico County Health Department CurrentSince May 17, 2021 Accepting new patients

Locations

108 E Main St
Salisbury, MD 21801
Phone (410) 334-3497

Organizations & group practices 3

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": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1417118167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E MAIN ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014921",
            "telephone_number": "410-742-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E MAIN ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014921",
            "telephone_number": "107-423-7844",
            "fax_number": "410-543-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALTER",
        "first_name": "JENNIFER",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.