Active NPI
Jodi Vanderhorst, LCSW-C
- Clinical Social Worker
- Owings Mills, MD
National Provider Identifier
1417235169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 17270
- Practice address
- 119 Willow Bend Dr
Owings Mills, MD 21117-2619 - Phone
- (443) 974-7153
- NPI assigned
- Jul 29, 2011
- Last updated
- Jul 29, 2011
- 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 | 17270 | MD | Primary |
Addresses
Primary practice location
119 Willow Bend Dr
Owings Mills, MD 21117-2619
Mailing address
119 Willow Bend Dr
Owings Mills, MD 21117-2619
Phone (443) 974-7153
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17270 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311897600000",
"number": "1417235169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 WILLOW BEND DR",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211172619",
"telephone_number": "443-974-7153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 WILLOW BEND DR",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211172619",
"telephone_number": "443-974-7153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERHORST",
"first_name": "JODI",
"name_prefix": "Ms.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-29",
"last_updated": "2011-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "17270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owings Mills, MD
- Valley Vista Psychiatry LLC
- Valley Vista Psychiatry PLLC
- Vamsh Health Services, LLC (Metro LTC Pharmacy)
- Vamsh Health Services, LLC (Choice Pharmacy #2 (DBA Metro Pharmacy))
- Pamela Vandemark, PT, DPT
- Amanda Vandivier, LMSW, PHD
- Vantage Point Behavioral Health
- Joshua Vaughan
- Lora Jean Vaughan, M.A., L.C.P.C.
- Danielle Azadeh Vaziri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.