Active NPI
Jessica Garrett, MD
- Clinical Social Worker
- Largo, MD
National Provider Identifier
1871601799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 05736
- Practice address
- 9701 Apollo Dr Ste 100
Largo, MD 20774-4785 - Phone
- (301) 821-2250
- NPI assigned
- Aug 29, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC302645 | DC | |
| Clinical Social Worker | 1041C0700X | 05736 | MD | Primary |
Addresses
Primary practice location
9701 Apollo Dr Ste 100
Largo, MD 20774-4785
Mailing address
PO Box 7726
Largo, MD 20792-7726
Phone (301) 821-2250
Other practice location 1
821 Howard Rd SE
Washington, DC 20020-5805
Phone (202) 698-1835
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC302645 | DC | MD | Clinical Social Worker |
| 05736 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570752000000",
"number": "1871601799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7726",
"city": "LARGO",
"state": "MD",
"postal_code": "207927726",
"telephone_number": "301-821-2250",
"fax_number": "301-249-5205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9701 APOLLO DR STE 100",
"city": "LARGO",
"state": "MD",
"postal_code": "207744785",
"telephone_number": "301-821-2250"
}
],
"practiceLocations": [
{
"address_1": "821 Howard Rd SE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200205805",
"country_code": "US",
"telephone_number": "202-698-1835",
"fax_number": "202-698-2467",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARRETT",
"first_name": "JESSICA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2019-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC302645",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "05736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Largo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.