Active NPI
Jordan L Carr, LMSW
- Social Worker
- Owings Mills, MD
National Provider Identifier
1922769827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 26832
- Practice address
- 18 Blue Sky Dr
Owings Mills, MD 21117-1741 - Phone
- (443) 739-7853
- NPI assigned
- Jan 4, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 26832 | MD | Primary |
Addresses
Primary practice location
18 Blue Sky Dr
Owings Mills, MD 21117-1741
Mailing address
18 Blue Sky Dr
Owings Mills, MD 21117-1741
Phone (443) 739-7853
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 |
|---|---|---|---|
| 26832 | MD | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S.O.a.R. Clinical Services | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Owings Mills, MD
- NPI 1962163972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641254400000",
"number": "1922769827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 BLUE SKY DR",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211171741",
"telephone_number": "443-739-7853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 BLUE SKY DR",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211171741",
"telephone_number": "443-739-7853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "JORDAN",
"middle_name": "L",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-04",
"last_updated": "2022-01-04",
"certification_date": "2022-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "26832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.