Jordan Atwell, LMSW
Individual provider Active NPI Social Worker · Timonium, MD
NPI 1811754757 · NPPES record last updated Mar 5, 2024
Key facts
- NPI
- 1811754757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 28549 (MD)
- Practice address
- 16 Greenmeadow Dr Ste 302
Timonium, MD 21093-3200 - Phone
- (443) 449-5604
- NPI assigned
- Mar 5, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28549 | MD | MD | Social Worker |
Interoperability endpoints
- jordan.atwell.1@8042.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 28549 | MD | Yes |
Addresses
Primary practice location
16 Greenmeadow Dr Ste 302
Timonium, MD 21093-3200
Mailing address
27277 Xavier LN
Mechanicsville, MD 20659-4816
Phone (301) 769-1108
Other providers in Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.