Active NPI
Jayme Elizabeth Fund, LCSW-C
- Clinical Social Worker
- Towson, MD
National Provider Identifier
1518459718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19373
- Practice address
- 304 E Pennsylvania Ave
Towson, MD 21286 - Phone
- (410) 616-1834
- Fax
- (410) 616-1834
- NPI assigned
- Jun 4, 2018
- 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 | 19373 | MD | Primary |
Addresses
Primary practice location
304 E Pennsylvania Ave
Towson, MD 21286
Mailing address
304 E Pennsylvania Ave
Towson, MD 21286-5369
Phone (410) 616-1834
Other practice location 1
60 Mellor Ave
Catonsville, MD 21228-5104
Phone (410) 788-5483
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 |
|---|---|---|---|
| 19373 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lighthouse, Inc. | Single Specialty | Past | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536105600000",
"number": "1518459718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 E PENNSYLVANIA AVE",
"city": "TOWSON",
"state": "MD",
"postal_code": "212865369",
"telephone_number": "410-616-1834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 E PENNSYLVANIA AVE",
"city": "TOWSON",
"state": "MD",
"postal_code": "21286",
"telephone_number": "410-616-1834",
"fax_number": "410-616-1834"
}
],
"practiceLocations": [
{
"address_1": "60 Mellor Ave",
"address_purpose": "LOCATION",
"city": "Catonsville",
"state": "MD",
"postal_code": "212285104",
"country_code": "US",
"telephone_number": "410-788-5483",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUND",
"first_name": "JAYME",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-04",
"last_updated": "2018-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "19373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.