MRS. JENNIFER D SHORT


Address: 29520 Canvasback Dr, Easton, MD 21601-7124
Phone: 4108225007

MRS. JENNIFER D SHORT (NPI# 1275603144) 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) 1275603144
Entity Type Individual
Full Name MRS. JENNIFER D SHORT
Credential LCSW-C
Practice Address 29520 Canvasback Dr
Easton
MD 21601-7124
Mailing Address 2336 Goddard Parkway
Salisbury
MD 21801
Practice Telephone 4108225007
Practice Fax Number 4108225569
Mailing Telephone 4103346961
Mailing Fax Number 4103346960
Enumeration Date 2006-11-08
Last Update Date 2010-11-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
14903 MD Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD 609500301 05
MD 609550002 05
MD 609550004 05
CAREFIRST FEDERAL R968 01
MAGELLAN GROUP 259147000 01
UHC MAMSI 517251 01
MD AMERICAN PSYCH SYSTEM 522156095 01
MD 609500300 05
MD CAREFIRST BCBS LM49EA 01
MD 609550001 05

Other Providers JENNIFER SHORT

NPI Name Taxonomy Address Enumeration
1881177863 Jennifer Lea Short Occupational Therapy Assistant 701 S Main St, Broken Arrow, OK 74012-5528 2018-09-14
1518320019 Jennifer Short Physician Assistant 69 Jesse Hill Jr Dr Se, Glenn Memorial Building, Room 302d, Atlanta, GA 30303-3033 2016-04-01
1821450677 Jennifer Short Advanced Practice Midwife 300 2nd Ave, Long Branch, NJ 07740-6303 2016-03-22
1497062707 Jennifer A Short Physical Therapist 6255 S Archer Ave, Chicago, IL 60638-2609 2010-09-08
1750617874 Jennifer Marie Short Physician Assistant 13845 Conlan Cir, Charlotte, NC 28277-2705 2009-10-23

Office Location

Street Address 29520 CANVASBACK DR
City EASTON
State MD
Zip Code 21601-7124

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649239948 George Wright Rever Psychiatry & Neurology 29520 Canvasback Dr, Easton, MD 21601-7124 2006-03-23
1801425129 Stephanie Boley Counselor 29520 Canvasback Dr, Easton, MD 21601-7124 2020-04-07
1053951004 Aisha Hassan-davis Nurse Practitioner 29520 Canvasback Dr, Easton, MD 21601-7124 2020-01-07
1366922080 Misty Ann Miller Social Worker 29520 Canvasback Dr, Easton, MD 21601-7124 2018-08-21
1740708197 Joseph B Cox Counselor 29520 Canvasback Dr, Easton, MD 21601-7124 2017-09-06
1356867907 Peter Jude Buesgens Social Worker 29520 Canvasback Dr, Easton, MD 21601-7124 2017-08-16
1619424686 Sierra Alexa Monturoi Social Worker 29520 Canvasback Dr, Easton, MD 21601-7124 2016-09-07
1144774068 Susan Halliwell Knade Counselor 29520 Canvasback Dr, Easton, MD 21601-7124 2016-08-09
1457704595 Randi Marie Melton Counselor 29520 Canvasback Dr, Easton, MD 21601-7124 2016-07-13
1326499690 Jeremy Michael Mckinney Counselor 29520 Canvasback Dr, Easton, MD 21601-7124 2016-06-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588205215 Jodi Windsor Kindt Nurse Practitioner Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 2019-10-03
1902466998 Christina Deleon Physician Assistant 403 Marvel Court, Easton, MD 21601 2019-06-20
1710458583 Patricia Vilani Occupational Therapy Assistant 12 Magnolia, Easton, MD 21601 2018-12-05
1538687702 Kristin Dabbs Wilkerson Counselor 29520 Canvasback Drive, Easton, MD 21601 2017-09-07
1356869978 Angela Lynn Rutherford Physical Therapy Assistant 610 Dutchman's Ln, Easton, MD 21601 2017-09-04
1851842389 Myeyedr Optometry of Maryland, LLC Optometrist 28522 Marlboro Ave, Ste A, Easton, MD 21601 2016-10-19
1659721991 Lauren Strady Pediatrics 500 Cadmus Ln Ste 210, Easton, MD 21601 2016-06-17
1194174391 Statcare Group IIi, PC Clinic/Center 28522-c Marlboro Avenue, Easton, MD 21601 2016-06-08
1245684224 Christina M Ball Nurse Practitioner 545 Cynwood Drive, Easton, MD 21601 2016-04-15
1205220274 Rebecca Ann Ruby Ailstock Midwife 508 Idlewild Ave Ste 3, Easton, MD 21601 2015-03-26
Find all providers in zip 21601

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
1326662156 Creative Counseling LLC Social Worker 29290 Golton Dr, Easton, MD 21601-4404 2020-06-08
1407485048 Sarah Hopkins Social Worker 500 Cadmus Ln Ste 209, Easton, MD 21601-4094 2020-04-06
1942835137 Carole Elizabeth Miller Social Worker 28540 Congressional Ct, Easton, MD 21601-8377 2020-03-08
1578196259 Harry Migenes Social Worker 193 Westport Rd, Easton, CT 06612-1329 2020-02-20
1629621578 For All Seasons, Inc. Social Worker 8221 Teal Dr Ste 427, Easton, MD 21601-7212 2019-07-19
1376011197 Jea Counseling LLC Social Worker 202 E Fairfield Ave, Easton, PA 18040-1324 2018-11-09
1932684057 Danubio & Associates Counseling Services, LLC Social Worker 2061 Fairview Ave Unit C, Easton, PA 18042-3953 2018-09-25
1811414683 Michael Jernegan Social Worker 2061 Fairview Ave Ste 2, Easton, PA 18042-3953 2017-08-23
1962952754 Dawn Elaine Craig Social Worker 426 Iron St, Easton, PA 18042-6312 2016-10-05
1588044929 Rebecca Hutchison Social Worker 8221 Teal Dr Ste 429, Easton, MD 21601-7212 2015-06-01
Find all providers in EASTON

Competitor

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City EASTON
Zip Code 21601

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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