Active NPI
Stacey Jones, MSW
- Clinical Social Worker
- Glen Burnie, MD
National Provider Identifier
1851328827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12391
- Practice address
- 808 Landmark Dr
Suite 128
Glen Burnie, MD 21061-4983 - Phone
- (410) 590-4140
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 12391 | MD | Primary |
Addresses
Primary practice location
808 Landmark Dr
Suite 128
Glen Burnie, MD 21061-4983
Mailing address
808 Landmark Dr Ste 128
Glen Burnie, MD 21061-4983
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1851328827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 LANDMARK DR STE 128",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210614983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 LANDMARK DR",
"address_2": "SUITE 128",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210614983",
"telephone_number": "410-590-4140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "STACEY",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "12391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.