Active NPI
Jamiah Patrice Elmore, LCSW
- Clinical Social Worker
- Camp Springs, MD
National Provider Identifier
1760109698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904014586
- Practice address
- 4401 Telfair Blvd
Camp Springs, MD 20746-5276 - Phone
- (571) 276-4578
- NPI assigned
- Oct 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 257401 | KY | |
| Clinical Social Worker | 1041C0700X | 0904014586 | VA | Primary |
Addresses
Primary practice location
4401 Telfair Blvd
Camp Springs, MD 20746-5276
Mailing address
915 Carnaby St
Stafford, VA 22554-9442
Phone (571) 276-4578
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 |
|---|---|---|---|
| 257401 | KY | MD | Clinical Social Worker |
| 0904014586 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1760109698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 CARNABY ST",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225549442",
"telephone_number": "571-276-4578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 TELFAIR BLVD",
"city": "CAMP SPRINGS",
"state": "MD",
"postal_code": "207465276",
"telephone_number": "571-276-4578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELMORE",
"first_name": "JAMIAH",
"middle_name": "PATRICE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-21",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "257401",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904014586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Springs, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.