Jennifer Lynn Clancy, M.A., LGPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LGP11171 Issued in MD

Practice address

9515 Deereco Rd Ste 306
Lutherville Timonium, MD 21093-2152

Phone

(410) 231-3016

NPI assigned

Oct 4, 2015

Last updated

Aug 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Jennifer Clancy Birth Services, LLC

  • Community Health Worker
  • Waldorf, MD
  • NPI 1013387984

  Counselor

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1669842530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25961 CHAFFEE CT",
            "city": "MECHANICSVILLE",
            "state": "MD",
            "postal_code": "206592717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9515 DEERECO RD STE 306",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210932152",
            "telephone_number": "410-231-3016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4666 Leonardtown Rd",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206013672",
            "country_code": "US",
            "telephone_number": "856-392-1646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLANCY",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "M.A., LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-04",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP11171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PROFESSIONAL COUNSELORS & THERAPISTS",
            "identifier": "LGP11171",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Lutherville Timonium, MD
• Providers in Lutherville Timonium, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.