Individual provider Active NPI

Jennifer Maguire, LCSW-C

  • Clinical Social Worker
  • Leonardtown, MD
National Provider Identifier
1447874359
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26205 Issued in MD
Practice address
23140 Moakley St Ste 6
Leonardtown, MD 20650-2931
Phone
(301) 690-8404
NPI assigned
Jun 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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 26205 MD Primary

Addresses

Primary practice location

23140 Moakley St Ste 6
Leonardtown, MD 20650-2931

Mailing address

PO Box 2514
Leonardtown, MD 20650-8514
Phone (301) 690-8404

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
I20240813000356 MD Practitioner - Clinical Social Worker 1759829526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hope and Healing Psychotherapy LLCGroup PAC ID 9638515315, 8 clinicians

Practice addresses (Care Compare)

23140 Moakley St
Suite 6
Leonardtown, MD 20650-2931
Phone (301) 690-8404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26205MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Edge Therapy, PLLC Clinical Current Accepting new patients
Hope and Healing Psychotherapy, LLC Clinical CurrentSince Jul 30, 2024 Accepting new patients
Day One Clinical PastSince Jun 1, 2020 Accepting new patients

Locations

23140 Moakley St
Ste 6
Leonardtown, MD 20650
Phone (301) 481-8088

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": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1447874359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2514",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206508514",
            "telephone_number": "301-690-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23140 MOAKLEY ST STE 6",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502931",
            "telephone_number": "301-690-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGUIRE",
        "first_name": "JENNIFER",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-05",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "26205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonardtown, MD

Sources for this page

Verify at the official NPI Registry.