Active NPI
Phillip James
- Social Worker
- Columbia, MD
National Provider Identifier
1689321473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 19586
- Practice address
- 5500 Knoll North Dr Ste 370
Columbia, MD 21045-2393 - Phone
- (410) 837-2050
- Fax
- (866) 629-0091
- NPI assigned
- Mar 2, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 19586 | MD | Primary |
Addresses
Primary practice location
5500 Knoll North Dr Ste 370
Columbia, MD 21045-2393
Mailing address
1111 N Charles St
Baltimore, MD 21201-5505
Phone (410) 837-2050
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19586 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1689321473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 N CHARLES ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212015505",
"telephone_number": "410-837-2050",
"fax_number": "866-629-0091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 KNOLL NORTH DR STE 370",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210452393",
"telephone_number": "410-837-2050",
"fax_number": "866-629-0091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "PHILLIP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-02",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "19586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.