Individual provider Active NPI

Jennifer Greenspun, LCSW-C

  • Clinical Social Worker
  • Glen Burnie, MD
National Provider Identifier
1861953093
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15046 Issued in MD
Practice address
1406 Crain Hwy S Ste 104
Glen Burnie, MD 21061-4086
Phone
(410) 766-6624
NPI assigned
Mar 29, 2019
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 15046 MD Primary

Addresses

Primary practice location

1406 Crain Hwy S Ste 104
Glen Burnie, MD 21061-4086

Mailing address

172 Carvel Beach Rd
Carvel Beach, MD 21226-1947
Phone (410) 999-7108

Other identifiers 1

IdentifierTypeStateIssuer
15046OtherMDMARYLAND BOARD OF SOCIAL WORKERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240506001166 MD Practitioner - Clinical Social Worker 7012357213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arundel Mental Health Professionals LCGroup PAC ID 4981688173, 118 clinicians

Practice addresses (Care Compare)

1511 Ritchie Hwy
Suite 202
Arnold, MD 21012-2410
Phone (410) 757-2077

1662 Village GRN
Crofton, MD 21114-2014
Phone (410) 757-2077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arundel Mental Health Professionals L.C. CurrentSince Apr 1, 2024 Accepting new patients

Locations

1511 Ritchie Hwy
Ste 202
Arnold, MD 21012
Phone (410) 757-5184

1662 Village Grn
#B
Crofton, MD 21114

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1861953093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 CARVEL BEACH RD",
            "city": "CARVEL BEACH",
            "state": "MD",
            "postal_code": "212261947",
            "telephone_number": "410-999-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 CRAIN HWY S STE 104",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614086",
            "telephone_number": "410-766-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENSPUN",
        "first_name": "JENNIFER",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BOARD OF SOCIAL WORKERS",
            "identifier": "15046",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.