Jennifer Wiejaczka, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11864 Issued in MD

Practice address

122 Langley Rd N
Glen Burnie, MD 21060-6539

Phone

(410) 222-6785

NPI assigned

Mar 20, 2007

Last updated

Mar 29, 2010By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• North Harford Hope

  • Clinical Social Worker
  • Jarrettsville, MD
  • NPI 1083298459
  NPD Authorized official
• Adolescent and Family Services/Addictions

  • Clinic/Center
  • Annapolis, MD
  • NPI 1902175128
  NPD (past)
• Anne Arundel County

  • Methadone Clinic
  • Glen Burnie, MD
  • NPI 1851926612
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1831214790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 LANGLEY RD N",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210606531",
            "telephone_number": "410-222-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 LANGLEY RD N",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210606539",
            "telephone_number": "410-222-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEJACZKA",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia P Whitfield, PT
• Kristin Anne Whiting-Davis, LCSW-C
• Maureen Michael Whitis, PA-C
• Heather Whittaker, CRNP
• George E Wicks, MD
• Meghan Catherine Wieser
• Autumn Wiggins, RBT
• John Wiley, M.D.
• William's Restoration of Hope
• William's Restoration of Hope

• Clinical Social Worker in Glen Burnie, MD
• Providers in Glen Burnie, 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 Mar 29, 2010; 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.