Active NPI
Jamal Raheem
- Clinical Social Worker
- Glen Burnie, MD
National Provider Identifier
1609258706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15764
- Practice address
- 7878 Americana Cir
Apt T4
Glen Burnie, MD 21060-7853 - Phone
- (410) 972-6239
- NPI assigned
- Jun 24, 2015
- Sex
- Male
- 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 | 15764 | MD | Primary |
Addresses
Primary practice location
7878 Americana Cir
Apt T4
Glen Burnie, MD 21060-7853
Mailing address
7878 Americana Cir
Apt T4
Glen Burnie, MD 21060-7853
Phone (410) 972-6239
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435104000000",
"number": "1609258706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7878 AMERICANA CIR",
"address_2": "APT T4",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210607853",
"telephone_number": "410-972-6239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7878 AMERICANA CIR",
"address_2": "APT T4",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210607853",
"telephone_number": "410-972-6239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHEEM",
"first_name": "JAMAL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-24",
"last_updated": "2015-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "15764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.