Individual provider Active NPI

Jessica Orndoff, LCSW-C

  • Clinical Social Worker
  • Cumberland, MD
National Provider Identifier
1952760985
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16901 Issued in MD
Practice address
507 Henderson Ave
Cumberland, MD 21502-1562
Phone
(301) 724-7277
Fax
(301) 724-7022
NPI assigned
Feb 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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 16901 MD Primary

Addresses

Primary practice location

507 Henderson Ave
Cumberland, MD 21502-1562

Mailing address

705 Lincoln St
Cumberland, MD 21502-1716
Phone (301) 697-9478

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
16901MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Zimela Wellness Center, LLC PastSince Nov 6, 2017 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.

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1952760985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 LINCOLN ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021716",
            "telephone_number": "301-697-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 HENDERSON AVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021562",
            "telephone_number": "301-724-7277",
            "fax_number": "301-724-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORNDOFF",
        "first_name": "JESSICA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.