Individual provider Active NPI

Jannatul Ferdous, LGSW

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1972722098
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15889 Issued in MD
Practice address
421 Fallsway
Baltimore, MD 21202-4800
Phone
(410) 837-5533
Fax
(410) 837-8020
NPI assigned
Apr 25, 2007
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 15889 MD Primary
Case Manager/Care Coordinator 171M00000X G12709 MD

Addresses

Primary practice location

421 Fallsway
Baltimore, MD 21202-4800

Mailing address

802 Queens Park Dr
Owings Mills, MD 21117-2250
Phone (410) 356-9308

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
I20240626000695 MD Practitioner - Clinical Social Worker 1153865696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

421 Fallsway
Baltimore, MD 21202-4800
Phone (410) 837-5533

9150 Franklin Square Dr
Suite 301
Baltimore, MD 21237-3903
Phone (410) 837-5533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15889MDMDClinical Social Worker
G12709MDMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care for the Homeless, Inc CurrentSince Apr 14, 2024 Accepting new patients
Health Care for the Homeless, Inc CurrentSince Apr 14, 2024 Accepting new patients

Locations

2000 W Baltimore St
Ste 3300
Baltimore, MD 21223
Phone (410) 837-5533

421 Fallsway
Baltimore, MD 21202
Phone (410) 837-5533

Interoperability endpoints

  • Direct secure messaging: mstjannatul.ferdous@direct.myteamcare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1972722098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 QUEENS PARK DR",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172250",
            "telephone_number": "410-356-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 FALLSWAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024800",
            "telephone_number": "410-837-5533",
            "fax_number": "410-837-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERDOUS",
        "first_name": "JANNATUL",
        "name_prefix": "Ms.",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15889",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MD",
            "license": "G12709",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.