Sheryl Denise Jefferson, LCSW-C

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11957 Issued in MD

Practice address

8850 Columbia 100 Pkwy
203
Columbia, MD 21045-2374

Phone

(443) 546-4476

Fax

(443) 546-4473

NPI assigned

Nov 12, 2007

Last updated

Jun 11, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kennedy Krieger Associates

  • Pediatrics Physician
  • Baltimore, MD
  • NPI 1871515783
  Medicare reassignment NPD
• Milestones Counseling and Consulting Services

  • Clinical Social Worker
  • Columbia, MD
  • NPI 1770050957
  Medicare reassignment NPD
• Oak Tree Family Therapy Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbia, MD
  • NPI 1235014820
  NPD Authorized official
• Kennedy Krieger Associates

  • Pediatrics Physician
  • Middle River, MD
  • NPI 1841009842
  NPD
• Em Bartlinski & Associates

  dba Associated Psychotherapists of MD & ADEPT

  • Social Worker
  • Glen Burnie, MD
  • NPI 1134186638

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1811177488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8850 COLUMBIA 100 PKWY",
            "address_2": "203",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452374",
            "telephone_number": "443-546-4476",
            "fax_number": "443-546-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8850 COLUMBIA 100 PKWY",
            "address_2": "203",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452374",
            "telephone_number": "443-546-4476",
            "fax_number": "443-546-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "SHERYL",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "11957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407958200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Javod K Gol DDS PC (Precision Dentistry)
• Timothy Dale Jayne Jr., PA-C
• Jcare Health & Staffing Inc
• Marquita Jeffers
• Morgan Jefferson, LMSW
• Toshia M Jefferson, PT
• Jeffrey L. Morer, OD, PC
• John Sheppard Jeffreys, ED.D.
• Olufunmilayo Bolanle Jegede
• Jej Clinical Therapeutic Services LLC

• Mental Health Counselor in Columbia, MD
• Providers in Columbia, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.