Individual provider Active NPI

Jennifer Fingado, LMSW

  • Clinical Social Worker
  • Nottingham, MD
National Provider Identifier
1891393351
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25546 Issued in MD
Practice address
9649 Belair Rd Ste 104
Nottingham, MD 21236-1117
Phone
(410) 529-1309
NPI assigned
Oct 15, 2020
Last updated
May 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 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 25546 MD Primary

Addresses

Primary practice location

9649 Belair Rd Ste 104
Nottingham, MD 21236-1117

Mailing address

1262 Colonnade Dr
Bel Air, MD 21015-5844
Phone (410) 529-1309

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

State licenses

LicenseStateTypeSpecialty
25546MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Well Life Counseling and Consulting, LLC CurrentSince Oct 19, 2020 Accepting new patients

Locations

9649 Belair Rd
Ste 104
Nottingham, MD 21236
Phone (410) 529-1309

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": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1891393351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 COLONNADE DR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155844",
            "telephone_number": "410-529-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9649 BELAIR RD STE 104",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212361117",
            "telephone_number": "410-529-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINGADO",
        "first_name": "JENNIFER",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2024-05-22",
        "certification_date": "2024-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "25546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.