Active NPI
Dominick Jenkins
- Clinical Social Worker
- Towson, MD
National Provider Identifier
1881369338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 27660
- Practice address
- 728 Camberley Cir Apt B2
Towson, MD 21204-0868 - Phone
- (443) 682-4719
- NPI assigned
- Aug 16, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 27660 | MD | Primary |
| Mental Health Occupational Therapist | 225XM0800X |
Addresses
Primary practice location
728 Camberley Cir Apt B2
Towson, MD 21204-0868
Mailing address
728 Camberley Cir Apt B2
Towson, MD 21204-0868
Phone (443) 682-4719
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27660 | MD | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1881369338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "728 CAMBERLEY CIR APT B2",
"city": "TOWSON",
"state": "MD",
"postal_code": "212040868",
"telephone_number": "443-682-4719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "728 CAMBERLEY CIR APT B2",
"city": "TOWSON",
"state": "MD",
"postal_code": "212040868",
"telephone_number": "443-682-4719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "DOMINICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-16",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "27660",
"primary": true
},
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.