Active NPI
Marjorie Jean, LICSW
- Clinical Social Worker
- Gaithersburg, MD
National Provider Identifier
1942728134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC50081311
- Practice address
- 9711 Washingtonian Blvd Ste 550
Gaithersburg, MD 20878-5789 - Phone
- (301) 615-2169
- NPI assigned
- Sep 7, 2017
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC50081311 | DC | Primary |
Addresses
Primary practice location
9711 Washingtonian Blvd Ste 550
Gaithersburg, MD 20878-5789
Mailing address
9711 Washingtonian Blvd Ste 550
Gaithersburg, MD 20878-5789
Phone (301) 615-2169
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093565900 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC50081311 | DC | MD | Clinical Social Worker |
Interoperability endpoints
- marjorie.jean.1@8042.direct.athenahealth.com
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": "1504742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1942728134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9711 WASHINGTONIAN BLVD STE 550",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208785789",
"telephone_number": "301-615-2169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9711 WASHINGTONIAN BLVD STE 550",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208785789",
"telephone_number": "301-615-2169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN",
"first_name": "MARJORIE",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-07",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50081311",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "093565900",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.