Jacke Lynn Schroeder, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10450 Issued in MD

Practice address

30 Over Ridge CT Apt 2122
Baltimore, MD 21210-1126

Phone

(410) 365-4157

NPI assigned

Feb 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Rabbi Jacke L Schroeder Other name

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, DC

  Medicare reassignment NPD
• Frank W. Gibson, Jr. P.a.

  • Psychologist
  • Baltimore, MD
  • NPI 1063425478
  NPD (past)

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

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1629116199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 OVER RIDGE CT APT 2122",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101126",
            "telephone_number": "410-365-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 OVER RIDGE CT APT 2122",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101126",
            "telephone_number": "410-365-4157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Bethesda Metro Ctr Ste 700",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208146300",
            "country_code": "US",
            "telephone_number": "301-618-0374",
            "fax_number": "954-480-1784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "JACKE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-04",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RABBI JACKE",
            "last_name": "SCHROEDER",
            "middle_name": "L",
            "credential": "MSW, LCSW-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Colleen Clarkin Schreyer, PH.D.
• Erika Balogh Schreyer, CRNA
• Christopher David Schrieber, M.S., PA-C
• Samantha Schroder, PA-C
• Allison Schroeder, PHD, LCMFT
• Lauren Marie Schroeder, CRNP
• Natalia L Schroeder, AGACNP
• Pamela R Schroeder
• Renee Schroeder, PT
• William J Schroeder, CRNA

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.