Individual provider Active NPI

Jeannette Latoya Murdaugh, LGSW

  • Social Worker
  • Baltimore, MD
National Provider Identifier
1649784893
Registry record updated Nov 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
22412 Issued in MD
Practice address
1011 N Charles St
Baltimore, MD 21201-5424
Phone
(443) 436-2915
NPI assigned
Nov 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 22412 MD Primary

Addresses

Primary practice location

1011 N Charles St
Baltimore, MD 21201-5424

Mailing address

7474 Greenway Center Dr Ste 700B
Greenbelt, MD 20770-3523
Phone (240) 513-4155

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220309002677 MD Practitioner - Clinical Social Worker 8628463650 Reassigns benefits to 1 organization
I20220309002793 DC Practitioner - Clinical Social Worker 8628463650 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Associates in Psychiatry PC Social Worker CurrentSince Feb 2, 2026 Accepting new patients

Locations

6410 Dobbin Rd
Ste F
Columbia, MD 21045
Phone (301) 246-0718

7474 Greenway Center Dr
Ste 700B
Greenbelt, MD 20770
Phone (240) 277-3359

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

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, 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": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511740800000",
    "number": "1649784893",
    "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": "240-513-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015424",
            "telephone_number": "443-436-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURDAUGH",
        "first_name": "JEANNETTE",
        "middle_name": "LATOYA",
        "credential": "LGSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MD",
            "license": "22412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.