Active NPI
Kisah Tondalear Jarvis
- Social Worker
- Baltimore, MD
National Provider Identifier
1891667523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 18618
- Practice address
- 4538 Edmondson Ave
Baltimore, MD 21229-1506 - Phone
- (443) 872-2230
- NPI assigned
- Sep 22, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 18618 | MD | Primary |
Addresses
Primary practice location
4538 Edmondson Ave
Baltimore, MD 21229-1506
Mailing address
5812 Jonquil Ave
Baltimore, MD 21215-3512
Phone (443) 204-3783
Other practice location 1
7310 Ritchie Hwy Ste 100
Glen Burnie, MD 21061-3170
Phone (443) 704-1082
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18618 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1891667523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5812 JONQUIL AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212153512",
"telephone_number": "443-204-3783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4538 EDMONDSON AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212291506",
"telephone_number": "443-872-2230"
}
],
"practiceLocations": [
{
"address_1": "7310 Ritchie Hwy Ste 100",
"address_purpose": "LOCATION",
"city": "Glen Burnie",
"state": "MD",
"postal_code": "210613170",
"country_code": "US",
"telephone_number": "443-704-1082",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JARVIS",
"first_name": "KISAH",
"middle_name": "TONDALEAR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-22",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "18618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.