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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
15292 | MD | Behavioral Health & Social Service Providers |
Street Address |
1501 DIVISION ST |
City | BALTIMORE |
State | MD |
Zip Code | 21217-3121 |
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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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 |
Find all providers in zip 21217 |
Taxonomy Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
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] |
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 |
Find all providers in BALTIMORE |
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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.