Jihad Abdul Ali, LMSW – Social Worker in Rosedale, MD

Key facts

NPI: 1942922786
Entity type: Individual (NPI type 1)
Primary specialty: Social Worker 104100000X
License: 17860 (MD)
Practice address: 8841 Fontana LN
Rosedale, MD 21237-2311
Phone: (410) 419-4547
NPI assigned: Sep 19, 2022
Sex: Male
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
17860	MD	MD	Social Worker

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Social Worker	104100000X	17860	MD	Yes

Addresses

Primary practice location

8841 Fontana LN
Rosedale, MD 21237-2311

Mailing address

8841 Fontana LN
Rosedale, MD 21237-2311
Phone (410) 419-4547

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 19, 2022.

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1942922786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8841 FONTANA LN",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212372311",
            "telephone_number": "410-419-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8841 FONTANA LN",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212372311",
            "telephone_number": "410-419-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "JIHAD",
        "middle_name": "ABDUL",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "17860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

All providers in Rosedale, MD · Social Worker in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.