Active NPI
Teri A Jedeikin, LMSW
- Social Worker
- Baltimore, MD
National Provider Identifier
1497211759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 23936
- Practice address
- 6999 Reisterstown Rd Ste 4
Baltimore, MD 21215-1492 - Phone
- (667) 600-3012
- Fax
- (667) 600-4092
- NPI assigned
- Feb 12, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 23936 | MD | Primary |
Addresses
Primary practice location
6999 Reisterstown Rd Ste 4
Baltimore, MD 21215-1492
Mailing address
6999 Reisterstown Rd Ste 4
Baltimore, MD 21215-1492
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 30, 2024 through Sep 30, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23936 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1497211759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6999 REISTERSTOWN RD STE 4",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212151492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6999 REISTERSTOWN RD STE 4",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212151492",
"telephone_number": "667-600-3012",
"fax_number": "667-600-4092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEDEIKIN",
"first_name": "TERI",
"middle_name": "A",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-12",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "23936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.