Individual provider Active NPI

Jacqueline Nicole Trombley, LCSW-C

  • Clinical Social Worker
  • Sandy Spring, MD
National Provider Identifier
1558747832
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17383 Issued in MD
Practice address
808 Olney Sandy Spring Rd Ste 2D
Sandy Spring, MD 20860-1055
Phone
(240) 389-5719
NPI assigned
Aug 10, 2015
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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 17383 MD Primary

Addresses

Primary practice location

808 Olney Sandy Spring Rd Ste 2D
Sandy Spring, MD 20860-1055

Mailing address

808 Olney Sandy Spring Rd Ste 2D
Sandy Spring, MD 20860-1055
Phone (240) 389-5719

Other practice location 1

1997 Annapolis Exchange Pkwy Ste 300
Annapolis, MD 21401-3273
Phone (410) 635-1184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspiration WellnessGroup PAC ID 5294268116, 7 clinicians

Practice addresses (Care Compare)

1997 Annapolis Exchange Pkwy
Suite 300
Annapolis, MD 21401-3273
Phone (410) 635-1184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17383MDMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Families First Counseling and Psychiatry, LLC CurrentSince Apr 1, 2022 Accepting new patients

Locations

7474 Greenway Center Dr
Ste 202
Greenbelt, MD 20770
Phone (240) 277-3359

17904 Georgia Ave
Ste 200
Olney, MD 20832
Phone (240) 204-3248

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1558747832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 OLNEY SANDY SPRING RD STE 2D",
            "city": "SANDY SPRING",
            "state": "MD",
            "postal_code": "208601055",
            "telephone_number": "240-389-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 OLNEY SANDY SPRING RD STE 2D",
            "city": "SANDY SPRING",
            "state": "MD",
            "postal_code": "208601055",
            "telephone_number": "240-389-5719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1997 Annapolis Exchange Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013273",
            "country_code": "US",
            "telephone_number": "410-635-1184",
            "fax_number": "410-630-8087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROMBLEY",
        "first_name": "JACQUELINE",
        "middle_name": "NICOLE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Spring, MD

Sources for this page

Verify at the official NPI Registry.