Individual provider Active NPI

Kemahn Maurice Jones, LMSW

  • Clinical Social Worker
  • Pikesville, MD
National Provider Identifier
1992586721
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
31706 Issued in MD
Practice address
100 Church LN # 204
Pikesville, MD 21208-3705
Phone
(443) 836-5793
NPI assigned
Oct 9, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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 31706 MD Primary

Addresses

Primary practice location

100 Church LN # 204
Pikesville, MD 21208-3705

Mailing address

100 Church LN # 204
Pikesville, MD 21208-3705

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
31706MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Health & Wellness LLC CurrentSince Jul 28, 2024 Accepting new patients
Infinite Health & Wellness LLC PastSince Jul 28, 2024 Accepting new patients

Locations

100 Church Ln
#204
Pikesville, MD 21208
Phone (443) 836-5793

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": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1992586721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHURCH LN # 204",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHURCH LN # 204",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083705",
            "telephone_number": "443-836-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KEMAHN",
        "middle_name": "MAURICE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-09",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "31706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.