Organization Active NPI

Jan Nolan LCSW-C CPC LLC

  • Clinical Social Worker
  • Towson, MD
National Provider Identifier
1962753905
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13356 Issued in MD
Legal business name
JAN NOLAN LCSW-C CPC LLC
Practice address
222 Bosley Ave
Suite a-2
Towson, MD 21204-4328
Phone
(410) 591-9916
Fax
(410) 823-7853
NPI assigned
Oct 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Jan Nolan, LCSW-C
Title
Owner
Phone
(410) 591-9916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 13356 MD Primary

Addresses

Primary practice location

222 Bosley Ave
Suite a-2
Towson, MD 21204-4328

Mailing address

222 Bosley Ave
Suite a-2
Towson, MD 21204-4328
Phone (410) 591-9916

National Provider Directory

National Provider Directory

Locations

222 Bosley Ave
Ste A2
Towson, MD 21204
Phone (410) 591-9916

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1962753905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 BOSLEY AVE",
            "address_2": "SUITE A-2",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044328",
            "telephone_number": "410-591-9916",
            "fax_number": "410-823-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 BOSLEY AVE",
            "address_2": "SUITE A-2",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044328",
            "telephone_number": "410-591-9916",
            "fax_number": "410-823-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN NOLAN LCSW-C CPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "NOLAN",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-591-9916",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.