Jessica Soussana, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12952 Issued in MD

Practice address

1201 Seven Locks Rd Ste 360
Rockville, MD 20854

Phone

(301) 298-0788

NPI assigned

Mar 7, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1780186585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SEVEN LOCKS RD STE 360",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208546901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SEVEN LOCKS RD STE 360",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20854",
            "telephone_number": "301-298-0788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Seven Locks Rd Ste 360",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "20854",
            "country_code": "US",
            "telephone_number": "301-298-0788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUSSANA",
        "first_name": "JESSICA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roseline Soubeiga
• Destiny Soumahoro
• Fatoumata Soumare
• Ellen Lebedow Soumekhian
• Sound Physicians Palliative Care of Maryland, P.C.
• South Sound Inpatient Physicians, PLLC
• Taylor Marie Southers, PHARMD
• Mansour Sow
• James Edward Sowry, M.D.
• Jonnelle Spann

• Clinical Social Worker in Rockville, MD
• Providers in Rockville, 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 Nov 13, 2018; 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.