Individual provider Active NPI

Rhonda Winfield Jordan, LCSW-C

  • Clinical Social Worker
  • Germantown, MD
National Provider Identifier
1417930918
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10903 Issued in MD
Practice address
12850 Middlebrook Rd
Suite 101
Germantown, MD 20874-5255
Phone
(240) 361-2056
NPI assigned
Nov 29, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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 10903 MD Primary

Addresses

Primary practice location

12850 Middlebrook Rd
Suite 101
Germantown, MD 20874-5255

Mailing address

12850 Middlebrook Rd
Suite 101
Germantown, MD 20874-5255
Phone (240) 361-2056

Other identifiers 1

IdentifierTypeStateIssuer
402025100MedicaidMD

Other names 1

  • Rhonda Winfield Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20100927000065 DC Practitioner - Clinical Social Worker 0648396713 Practice locations: Germantown, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12850 Middlebrook Rd
Suite 250
Germantown, MD 20874-5278
Phone (240) 361-2056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364515200000",
    "number": "1417930918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12850 MIDDLEBROOK RD",
            "address_2": "SUITE 101",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745255",
            "telephone_number": "240-361-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12850 MIDDLEBROOK RD",
            "address_2": "SUITE 101",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745255",
            "telephone_number": "240-361-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "RHONDA",
        "middle_name": "WINFIELD",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2013-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402025100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RHONDA",
            "last_name": "WINFIELD",
            "credential": "LCSW-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.