Individual provider Active NPI

Jacquelin Lynott, LCSW-C

  • Clinical Social Worker
  • Frederick, MD
National Provider Identifier
1922564228
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24632 Issued in MD
Practice address
120 W Church St Ste 3a
Frederick, MD 21701-7813
Phone
(443) 431-0372
Fax
(240) 324-8856
NPI assigned
Feb 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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 24632 MD Primary

Addresses

Primary practice location

120 W Church St Ste 3a
Frederick, MD 21701-7813

Mailing address

120 W Church St Ste 3a
Frederick, MD 21701-7813
Phone (443) 431-0372

Other practice location 1

60 Market St Ste 213
Gaithersburg, MD 20878-6559
Phone (240) 248-9626

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
24632MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Switchback Psychotherapy LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

120 W Church St
Ste 3A
Frederick, MD 21701
Phone (336) 813-2769

12774 Wisteria Dr
Unit 2896
Germantown, MD 20875

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1922564228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W CHURCH ST STE 3A",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217017813",
            "telephone_number": "443-431-0372",
            "fax_number": "240-324-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W CHURCH ST STE 3A",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217017813",
            "telephone_number": "443-431-0372",
            "fax_number": "240-324-8856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Market St Ste 213",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208786559",
            "country_code": "US",
            "telephone_number": "240-248-9626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNOTT",
        "first_name": "JACQUELIN",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "24632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.