Organization Active NPI

Jill Eicher LCSW-C

  • Clinical Social Worker
  • Reisterstown, MD
National Provider Identifier
1669023784
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Jun 30, 2021

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.