Organization Active NPI

Jamison Social Work Professionals, LLC

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1841509775
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14834 Issued in MD
Legal business name
JAMISON SOCIAL WORK PROFESSIONALS, LLC
Practice address
5605 Force Rd
Baltimore, MD 21206-4624
Phone
(443) 854-3498
NPI assigned
Sep 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Authorized official

Name
Ms. Shontel Jamison-Smith, LCSW-C
Title
Clinical Social Worker/Owner
Phone
(443) 854-3498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 14834 MD Primary

Addresses

Primary practice location

5605 Force Rd
Baltimore, MD 21206-4624

Mailing address

5605 Force Rd
Baltimore, MD 21206-4624
Phone (443) 854-3498

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1841509775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 FORCE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212064624",
            "telephone_number": "443-854-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 FORCE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212064624",
            "telephone_number": "443-854-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMISON SOCIAL WORK PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "JAMISON-SMITH",
        "authorized_official_first_name": "SHONTEL",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER/OWNER",
        "authorized_official_telephone_number": "443-854-3498",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.