Individual provider Active NPI

Jennifer Maria Smith

  • Clinical Social Worker
  • Upper Marlboro, MD
National Provider Identifier
1689286684
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26965 Issued in MD
Practice address
14107 Kern CT Apt 336
Upper Marlboro, MD 20772-5965
Phone
(240) 595-2670
NPI assigned
Aug 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904018596 VA
Clinical Social Worker 1041C0700X 26965 MD Primary

Addresses

Primary practice location

14107 Kern CT Apt 336
Upper Marlboro, MD 20772-5965

Mailing address

14107 Kern CT Apt 336
Upper Marlboro, MD 20772-5965
Phone (240) 595-2670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904018596VAMDClinical Social Worker
26965MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Unlock U Counseling, L.L.C. Clinical CurrentSince Jul 13, 2025 Accepting new patients
Arundel Mental Health Professionals LLC PastSince Jul 31, 2022 Accepting new patients
Arundel Mental Health Professionals L.C. PastSince Mar 1, 2021 Accepting new patients

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": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1689286684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14107 KERN CT APT 336",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207725965",
            "telephone_number": "240-595-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14107 KERN CT APT 336",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207725965",
            "telephone_number": "240-595-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904018596",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "26965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.