Jean Dunkel, LCSW C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

02972 Issued in MD

Practice address

120 Sister Pierre Drive
Suite 403
Towson, MD 21204

Phone

(410) 823-6408

Fax

(443) 279-0537

NPI assigned

Jun 1, 2006

Last updated

Jul 10, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 20

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Specialty

Clinical Social Worker

Education

University of Chicago, Pritzker School of Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psych Associates of Maryland LLCGroup PAC ID 3971550963, 151 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bloomhealthcenters.jeandunkel@131200.advancedmd-direct.com

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.

• Psych Associates of Maryland LLC

  dba Bloom Health Centers

  • Psychologist
  • Timonium, MD
  • NPI 1891721981

  DC

  Medicare reassignment Care Compare group NPD
• Neta, Inc.

  • Child & Adolescent Psychiatry Physician
  • Arlington, VA
  • NPI 1134506520
  NPD

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1922045566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SISTER PIERRE DRIVE",
            "address_2": "SUITE 403",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21204",
            "telephone_number": "410-823-6408",
            "fax_number": "443-279-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SISTER PIERRE DRIVE",
            "address_2": "SUITE 403",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21204",
            "telephone_number": "410-823-6408",
            "fax_number": "443-279-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNKEL",
        "first_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LCSW C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "02972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGE",
            "identifier": "069051000",
            "state": null
        },
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            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMP",
            "identifier": "253539",
            "state": null
        },
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            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "360218",
            "state": null
        },
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            "issuer": "MAMS",
            "identifier": "593795443",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEMD",
            "identifier": "150N",
            "state": null
        },
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            "code": "01",
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            "issuer": "UNHC",
            "identifier": "2512798",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMP",
            "identifier": "252450",
            "state": null
        },
        {
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            "issuer": "MHN",
            "identifier": "117959",
            "state": null
        },
        {
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            "desc": "Other (non-Medicare)",
            "issuer": "KAIS",
            "identifier": "226108",
            "state": null
        },
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            "code": "01",
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            "issuer": "CIGN",
            "identifier": "26601",
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        },
        {
            "code": "01",
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            "issuer": "BSDC",
            "identifier": "0005",
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        {
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            "issuer": "UNHC",
            "identifier": "2392061",
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        },
        {
            "code": "01",
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            "issuer": "MAMS",
            "identifier": "361780",
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        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSMD",
            "identifier": "705BPS",
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        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGE",
            "identifier": "790298000",
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        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSMD",
            "identifier": "41301102",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS",
            "identifier": "PVPB118079",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VAL",
            "identifier": "002601",
            "state": null
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        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBMD",
            "identifier": "150N135G",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSDC",
            "identifier": "K452",
            "state": null
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    ],
    "endpoints": [],
    "other_names": []
}

• Dulaney Valley Counseling
• Alexandra Renee Dull, CTRS
• George W Duncan, M.D.
• Katherine Duncan, M.D.
• Bridget Dunkel, LCPC
• Leigh Dunn-Vigna, LCPC
• Michelle L Dunn, LCPC
• Rylee Dunn
• Meagan Macrae Dunne, M.D.
• Timothy Francis Dunnigan, LCSW-C

• Clinical Social Worker in Towson, MD
• Providers in Towson, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.