Active NPI
Jill Eicher LCSW-C
- Clinical Social Worker
- Reisterstown, MD
National Provider Identifier
1669023784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- JILL EICHER LCSW-C
- Practice address
- 2015 Emory Rd
Reisterstown, MD 21136-4017 - Phone
- (443) 825-7842
- Fax
- (410) 848-1980
- NPI assigned
- Sep 20, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessie Costley
- Title
- Support
- Phone
- (443) 839-6928
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2015 Emory Rd
Reisterstown, MD 21136-4017
Mailing address
2015 Emory Rd
Reisterstown, MD 21136-4017
Phone (443) 825-7842
National Provider Directory
National Provider DirectoryLocations
15 E Main St
Ste 108
Westminster, MD 21157
Phone (443) 825-7842
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Westminster, MD
- NPI 1639417009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625011200000",
"number": "1669023784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 EMORY RD",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211364017",
"telephone_number": "443-825-7842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 EMORY RD",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211364017",
"telephone_number": "443-825-7842",
"fax_number": "410-848-1980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JILL EICHER LCSW-C",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-20",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A",
"authorized_official_last_name": "COSTLEY",
"authorized_official_first_name": "JESSIE",
"authorized_official_title_or_position": "SUPPORT",
"authorized_official_telephone_number": "443-839-6928"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reisterstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.