Active NPI
Jessica Payne
- Social Worker
- Olney, MD
National Provider Identifier
1639737380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 24834
- Practice address
- 17904 Georgia Ave Ste 200
Olney, MD 20832-2277 - Phone
- (240) 304-3327
- NPI assigned
- May 29, 2019
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 24834 | MD | Primary |
Addresses
Primary practice location
17904 Georgia Ave Ste 200
Olney, MD 20832-2277
Mailing address
7474 Greenway Center Dr Ste 700B
Greenbelt, MD 20770-3523
Phone (240) 304-3327
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 |
|---|---|---|---|
| 24834 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seeds Center for Whole Health, LLC | 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": "1559088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559088000000",
"number": "1639737380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7474 GREENWAY CENTER DR STE 700B",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703523",
"telephone_number": "240-304-3327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17904 GEORGIA AVE STE 200",
"city": "OLNEY",
"state": "MD",
"postal_code": "208322277",
"telephone_number": "240-304-3327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-29",
"last_updated": "2019-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "24834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olney, MD
- Vallary Patel
- Vikaskumar Patel
- Amit Pathak, MD
- Paula E Bourelly MD & Assoc (Olney Dermatology Associates)
- Paula E Bourelly MD Associates LLC (Olney Dermatology Associates)
- Pediatrix Medical Group of the Mid-Atlantic PC
- Reyna Jasmin Perez-Arreaga
- Iris Ivette Perez-Greene, NP
- John R Peters, M.D.
- Melinda Peterson, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.