Active NPI
Jennifer Lee Canby, MSW, LCSW-C
- Clinical Social Worker
- Hagerstown, MD
National Provider Identifier
1821561515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19611
- Practice address
- 22 N Mulberry St Ste 14&120
Hagerstown, MD 21740-4870 - Phone
- (240) 986-3139
- Fax
- (301) 576-3828
- NPI assigned
- Jan 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 19611 | MD | Primary |
Addresses
Primary practice location
22 N Mulberry St Ste 14&120
Hagerstown, MD 21740-4870
Mailing address
1 Sahalee CT
Martinsburg, WV 25403-7307
Phone (304) 616-2396
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19611 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unlocking Resilience, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546732800000",
"number": "1821561515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SAHALEE CT",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254037307",
"telephone_number": "304-616-2396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 N MULBERRY ST STE 14&120",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217404870",
"telephone_number": "240-986-3139",
"fax_number": "301-576-3828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANBY",
"first_name": "JENNIFER",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "MSW, LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-06",
"last_updated": "2019-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "19611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.