Individual provider Active NPI

Jody Ginsberg, LCSW-C

  • Clinical Social Worker
  • Owings Mills, MD
National Provider Identifier
1962617969
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05729 Issued in MD
Practice address
3 Spruce CT
Owings Mills, MD 21117-1423
Phone
(410) 960-2542
Fax
(410) 998-3931
NPI assigned
May 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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 05729 MD Primary

Addresses

Primary practice location

3 Spruce CT
Owings Mills, MD 21117-1423

Mailing address

3 Spruce CT
Owings Mills, MD 21117-1423
Phone (410) 363-0897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120111000827 MD Practitioner - Clinical Social Worker 3072780220 Practice locations: Timonium, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Maryland School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9475 Deereco Rd
Suite 206
Timonium, MD 21093-2118
Phone (410) 960-2542

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05729MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
John Braxton MD Past Accepting new patients
Psychology Consultants Assoc PastSince Apr 30, 2013 Accepting new patients

Organizations & group practices 2

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": "1178928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1962617969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SPRUCE CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171423",
            "telephone_number": "410-363-0897",
            "fax_number": "410-298-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SPRUCE CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171423",
            "telephone_number": "410-960-2542",
            "fax_number": "410-998-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINSBERG",
        "first_name": "JODY",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-12",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "05729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.