Organization Active NPI

Jamire Merrick

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1619686367
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JAMIRE MERRICK
Practice address
822 Guilford Ave # 1637
Baltimore, MD 21202-3707
Phone
(443) 863-8424
NPI assigned
Nov 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jamire Merrick, LCSW-CNPI 1194211060
Title
Owner
Phone
(443) 872-1913

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

822 Guilford Ave # 1637
Baltimore, MD 21202-3707

Mailing address

5507 Wesley Ave
Baltimore, MD 21207-6825
Phone (443) 872-1913

Other identifiers 1

IdentifierTypeStateIssuer
987183700MedicaidMD

Other names 1

  • Merrick Consulting and Therapy Services Doing business as

National Provider Directory

National Provider Directory

Locations

822 Guilford Ave
#1637
Baltimore, MD 21202
Phone (443) 863-8424

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1619686367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5507 WESLEY AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212076825",
            "telephone_number": "443-872-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 GUILFORD AVE # 1637",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023707",
            "telephone_number": "443-863-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIRE MERRICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "MERRICK",
        "authorized_official_first_name": "JAMIRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-872-1913",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "987183700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merrick Consulting and Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.