MS. JESSICA TAWANDA FAUNTLEROY


Address: 1501 Division St, Baltimore, MD 21217-3121
Phone: 4103838300

MS. JESSICA TAWANDA FAUNTLEROY (NPI# 1255840609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255840609
Entity Type Individual
Full Name MS. JESSICA TAWANDA FAUNTLEROY
Credential LCSW-C
Practice Address 1501 Division St
Baltimore
MD 21217-3121
Mailing Address 4017 Cranston Ave
Baltimore
MD 21229-1908
Practice Telephone 4103838300
Mailing Telephone 4432828146
Enumeration Date 2017-09-28
Last Update Date 2017-09-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
15292 MD Behavioral Health & Social Service Providers

Office Location

Street Address 1501 DIVISION ST
City BALTIMORE
State MD
Zip Code 21217-3121

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871590539 Rama Shankar Internal Medicine 1501 Division St, Baltimore, MD 21217-3121 2005-07-07
1053939165 Sharita Newkirk Pharmacy Technician 1501 Division St, Baltimore, MD 21217-3121 2020-07-07
1366078826 Sara Elizabeth Hensley Nurse Practitioner 1501 Division St, Baltimore, MD 21217-3121 2020-03-17
1215590336 Carlos Octavio Barrero Nurse Practitioner 1501 Division St, Baltimore, MD 21217-3121 2019-04-15
1871942250 Rupan Pandove Dentist 1501 Division St, Baltimore, MD 21217 2016-06-07
1124485594 Markie Habros Dietitian, Registered 1501 Division St, Baltimore, MD 21217-3121 2016-01-15
1336516442 Lorena C Salas Social Worker 1501 Division St, Baltimore, MD 21217-3121 2015-08-24
1801285044 Duane Walters Dietitian, Registered 1501 Division St, Baltimore, MD 21217-3121 2015-01-12
1366830655 Andrew Michael Charles Sr. Pharmacist 1501 Division St, Baltimore, MD 21217-3121 2015-01-08
1629476718 Candice Farrare Registered Nurse 1501 Division St, Baltimore, MD 21217-3121 2014-12-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962979500 Jia K Allen Pharmacist 2509-2523 Pennsylvania Ave, Baltimore, MD 21217 2018-11-01
1982186102 Family First Home Care LLC In Home Supportive Care 1645 N Calhoun St Apt 205, Baltimore, MD 21217 2018-09-04
1821598616 Organizational Pathways, LLC Counselor 2306 Mount Royal Ter Apt 1a, Baltimore, MD 21217 2018-02-18
1881131308 Domonique Matthews Registered Nurse 1515 W. North Ave, 1st Floor, Baltimore, MD 21217 2017-01-23
1992121982 Dorren Rennes Counselor 2350 Eutaw Place, Baltimore, MD 21217 2014-03-14
1437498615 Care One Pharmacy Ltc/specialty Pharmacy Pharmacy 2277-2279 Reisterstown Road, Baltimore, MD 21217 2013-02-07
1790023448 Adeola Titilayo Adefioye Registered Nurse 922-924 W. North Avenue, Total Health Care - True Health, Baltimore, MD 21217 2013-01-30
1912274150 Total Health Care Inc. Community/Behavioral Health 5101 Division Street, Baltimore, MD 21217 2011-11-16
1386816395 Kennedy Krieger Education and Communication Social Worker 1311 N. Gilmor St., Gilmore School, Baltimore, MD 21217 2008-03-31
1740452762 Kennedy Krieger Education and Communication Social Worker 1200 Pennsylvania Ave., Furman L. Templeton, Baltimore, MD 21217 2008-03-31
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508467069 Pivot Inc. Social Worker 1725 E Baltimore St, Baltimore, MD 21231-1508 2020-11-02
1265033716 Estell Wellness, LLC Social Worker 3925 Beech Ave Apt 522, Baltimore, MD 21211-2265 2020-11-02
1821698853 Britney Buckson Social Worker 3710 Mary Ave, Baltimore, MD 21206-2416 2020-10-28
1467052746 Allison Clayton Social Worker 1206 Union Ave, Baltimore, MD 21211-1901 2020-10-27
1134727506 Maria Eleanor Nissley Ray Social Worker 906 Wilmington Ave, Baltimore, MD 21223-3224 2020-10-16
1144828161 Melissa Vanderwolf Weldon Social Worker 3974 Edgehill Ave Apt C7, Baltimore, MD 21211-1721 2020-10-12
1467059691 Artricia Cheri Love Social Worker 4010 W Belvedere Ave # 102, Baltimore, MD 21215-5502 2020-10-01
1710592183 Stacy Tron Social Worker 2804 Laurelwood Ct, Baltimore, MD 21209-1414 2020-09-12
1326653742 M S Brown Counseling Services LLC Social Worker 6801 Belair Rd Ste B, Baltimore, MD 21206-1121 2020-09-11
1700491438 Chaey Skinner Social Worker 4312 Kolb Ave, Baltimore, MD 21206-2021 2020-09-10
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Competitor

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City BALTIMORE
Zip Code 21217

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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