Active NPI
Jessica N Canty, LICSW
- Clinical Social Worker
- Clinton, MD
National Provider Identifier
1487329918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC50080432
- Practice address
- 5804 Sulla CT
Clinton, MD 20735-3726 - Phone
- (301) 467-3863
- NPI assigned
- Aug 16, 2021
- 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 | LC50080432 | DC | Primary |
Addresses
Primary practice location
5804 Sulla CT
Clinton, MD 20735-3726
Mailing address
5804 Sulla CT
Clinton, MD 20735-3726
Phone (301) 467-3863
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 |
|---|---|---|---|
| LC50080432 | DC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proverbs 15:22 Personal Growth Coaching LLC | Clinical | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Waldorf, MD
- NPI 1033065750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1487329918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5804 SULLA CT",
"city": "CLINTON",
"state": "MD",
"postal_code": "207353726",
"telephone_number": "301-467-3863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5804 SULLA CT",
"city": "CLINTON",
"state": "MD",
"postal_code": "207353726",
"telephone_number": "301-467-3863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTY",
"first_name": "JESSICA",
"middle_name": "N",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-16",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50080432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, MD
- Kathleen G. Butler, M.D.
- John Philip Byrne, M.D.
- California Emergency Physicians Medical Group, a Professional Corp.
- John Clifton Campbell, CRNA
- Neil Campbell, DDS
- Capital Harbor Surgery
- Capital Health Solutions LLC
- Capital Integrative Health Center
- Capital Integrative Neuroscience Center
- Capital Orthopaedic Specialists LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.