Individual provider Active NPI

Anna Jung, LCSW-C

  • Clinical Social Worker
  • Hunt Valley, MD
National Provider Identifier
1669179032
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11521 Issued in MD
Practice address
11350 McCormick Rd Ste 800
Hunt Valley, MD 21031-1002
Phone
(240) 483-2654
NPI assigned
Feb 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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 11521 MD Primary

Addresses

Primary practice location

11350 McCormick Rd Ste 800
Hunt Valley, MD 21031-1002

Mailing address

1907 Hickory Hill LN
Silver Spring, MD 20906-5809
Phone (240) 483-2654

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
I20230313002305 MD Practitioner - Clinical Social Worker 9133593288 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11521MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Point Wellness, LLC CurrentSince Feb 28, 2023 Accepting new patients

Locations

5820 York Rd
Ste 201
Baltimore, MD 21212
Phone (410) 365-0693

2015 Emmorton Rd
Ste 201
Bel Air, MD 21015
Phone 41080021695740

11350 McCormick Rd
Ste 800
Hunt Valley, MD 21031
Phone (410) 261-6199

11350 McCormick Rd
Hunt Valley, MD 21031
Phone (410) 258-4721

7658 Belair Rd
Nottingham, MD 21236
Phone (410) 701-0012

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": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1669179032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 HICKORY HILL LN",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209065809",
            "telephone_number": "240-483-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD STE 800",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311002",
            "telephone_number": "240-483-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "ANNA",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hunt Valley, MD

Sources for this page

Verify at the official NPI Registry.