Individual provider Active NPI

Jennifer Redding, LCSW-C

  • Clinical Social Worker
  • Bel Air, MD
National Provider Identifier
1659300184
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11772 Issued in MD
Practice address
44 E Gordon St
Bel Air, MD 21014-2916
Phone
(410) 808-7623
Fax
(410) 838-8953
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11772 MD Primary

Addresses

Primary practice location

44 E Gordon St
Bel Air, MD 21014-2916

Mailing address

4623 Falls Rd
Baltimore, MD 21209-4914
Phone (410) 366-1980

Other identifiers 4

IdentifierTypeStateIssuer
T541-0074OtherMDCAREFIRST BCBS
278321OtherMDCOMPSYCH
399439OtherMDTRICARE
621656-02OtherMDCAREFIRST BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090327000037 MD Practitioner - Clinical Social Worker 5193882645 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harford Counseling, LLCGroup PAC ID 6305983966, 3 clinicians

Practice addresses (Care Compare)

1201 Agora Dr
Suite LB2
Bel Air, MD 21014-6863
Phone (410) 836-7332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11772MDMDMusic Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Monarc, LLC Clinical Current Accepting new patients
Harford Crisis Center, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Harford Counseling, LLC Clinical CurrentSince Oct 12, 2009 Accepting new patients

Locations

1201 Agora Dr
Ste LB2
Bel Air, MD 21014
Phone (410) 303-5432

802 Baltimore Pike
#A
Bel Air, MD 21014
Phone (443) 643-2422

Organizations & group practices 3

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1659300184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4623 FALLS RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094914",
            "telephone_number": "410-366-1980",
            "fax_number": "411-366-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 E GORDON ST",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142916",
            "telephone_number": "410-808-7623",
            "fax_number": "410-838-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDING",
        "first_name": "JENNIFER",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "T541-0074",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "278321",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "399439",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "621656-02",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.