Jennifer C. Petzel, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14180 Issued in MD

Practice address

4400 E West Hwy
#907
Bethesda, MD 20814-4524

Phone

(301) 657-4329

Fax

(301) 657-3250

NPI assigned

Jun 26, 2008

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

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associated Clinic of Psychology IncGroup PAC ID 0749171320, 136 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Associated Clinic of Psychology Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Louis Park, MN
  • NPI 1588741292
  Medicare reassignment Care Compare group NPD
• Barbara Kane, LCSW-C, LLC

  • Mental Health Counselor
  • Bethesda, MD
  • NPI 1447979505
  NPD (past)

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1760644371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 E WEST HWY",
            "address_2": "#907",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144524",
            "telephone_number": "301-657-4329",
            "fax_number": "301-657-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 E WEST HWY",
            "address_2": "#907",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144524",
            "telephone_number": "301-657-4329",
            "fax_number": "301-657-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETZEL",
        "first_name": "JENNIFER",
        "middle_name": "C.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14180",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078507",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anton Petrich, D.D.S, M.S.
• Carol Guzewicz Petrie, P.T.
• Victoria Rooke Petro, DO
• Wehazit Petros
• Lindsay Petty, RN, BSN, IBCLC
• Maria Gabriela Pezo
• Amanda Joyce Jacob Pezzanite, LCSW-C
• Maddison L Pezzelle, MSSW, LMSW
• Susan Pfeiffer, PA-C
• Duyen Ky Pham Hua

• Clinical Social Worker in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.