Individual provider Active NPI

Jennifer Lyn Eckrich, LCSW-C

  • Clinical Social Worker
  • Salisbury, MD
National Provider Identifier
1962091074
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23879 Issued in MD
Practice address
3674 Meadow Bridge Rd
Salisbury, MD 21804-1355
Phone
(410) 430-3739
NPI assigned
Jan 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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 23879 MD Primary

Addresses

Primary practice location

3674 Meadow Bridge Rd
Salisbury, MD 21804-1355

Mailing address

3674 Meadow Bridge Rd
Salisbury, MD 21804-1355
Phone (410) 430-3739

Other names 1

  • Jennifer Shrieves Former name

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
23879MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1962091074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3674 MEADOW BRIDGE RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041355",
            "telephone_number": "410-430-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3674 MEADOW BRIDGE RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041355",
            "telephone_number": "410-430-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKRICH",
        "first_name": "JENNIFER",
        "middle_name": "LYN",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "23879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SHRIEVES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.