Active NPI
Jennifer Baskette
- Clinical Social Worker
- Millersville, MD
National Provider Identifier
1770106387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16605
- Practice address
- 1111 Benfield Blvd Ste 200
Millersville, MD 21108-3004 - Phone
- (667) 600-2494
- NPI assigned
- May 19, 2020
- Last updated
- May 19, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 16605 | MD | Primary |
Addresses
Primary practice location
1111 Benfield Blvd Ste 200
Millersville, MD 21108-3004
Mailing address
1111 Benfield Blvd Ste 200
Millersville, MD 21108-3004
Phone (667) 600-2494
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbaskette@cc-md.org | Direct |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16605 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589846400000",
"number": "1770106387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 BENFIELD BLVD STE 200",
"city": "MILLERSVILLE",
"state": "MD",
"postal_code": "211083004",
"telephone_number": "667-600-2494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 BENFIELD BLVD STE 200",
"city": "MILLERSVILLE",
"state": "MD",
"postal_code": "211083004",
"telephone_number": "667-600-2494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASKETTE",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-19",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "16605",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbaskette@cc-md.org",
"affiliation": "N",
"endpointDescription": "agency email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1111 Benfield Blvd Ste 200",
"city": "Millersville",
"state": "MD",
"country_code": "US",
"postal_code": "211083004",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Millersville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.