KYLE PATRICK JERNIGAN (NPI# 1417465808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417465808 |
| Entity Type | Individual |
| Full Name | KYLE PATRICK JERNIGAN |
| Credential | LGSW |
| Practice Address |
3825 Greenspring Ave Baltimore MD 21211-1310 |
| Mailing Address |
500 Park Ave Apt 409 Baltimore MD 21201-4927 |
| Practice Telephone | 4439237869 |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 20821 | MD | Behavioral Health & Social Service Providers |
| Street Address |
3825 GREENSPRING AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21211-1310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346321395 | Jeanne Murphy | Occupational Therapist | 3825 Greenspring Ave, Baltimore, MD 21211-1310 | 2006-10-18 |
| 1699310417 | Claire Scavone | Student in an Organized Health Care Education/Training Program | 3825 Greenspring Ave, Baltimore, MD 21211-1310 | 2019-11-15 |
| 1245881820 | Andrea Aument | Speech-Language Pathologist | 3825 Greenspring Ave, Baltimore, MD 21211-1310 | 2019-09-24 |
| 1265085930 | Christian Doscher | Social Worker | 3825 Greenspring Ave, Baltimore, MD 21211-1310 | 2019-07-22 |
| 1275194953 | Kara Rodano | Student in an Organized Health Care Education/Training Program | 3825 Greenspring Ave, Baltimore, MD 21211-1310 | 2019-06-24 |
| 1760041974 | Emily Elisabeth Nemec | Occupational Therapist | 3825 Greenspring Ave, Baltimore, MD 21211-1310 | 2019-06-11 |
| 1750853511 | Katherine Halstead | Behavioral Analyst | 3825 Greenspring Ave, Baltimore, MD 21211-1310 | 2018-12-18 |
| 1396216743 | Katherine Margulis | Speech-Language Pathologist | 3825 Greenspring Ave, Baltimore, MD 21211-1310 | 2018-12-11 |
| 1598244832 | Kori Desiderio | Occupational Therapist | 3825 Greenspring Ave, Baltimore, MD 21211-1310 | 2018-08-08 |
| 1376035279 | Carrie Elizabeth Quaco | Occupational Therapist | 3825 Greenspring Ave, Baltimore, MD 21211-1310 | 2018-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598308322 | Deep Roots Wellness | Social Worker | 733 W. 40th Street, Print Shop Building Suite 20, Baltimore, MD 21211 | 2019-10-24 |
| 1194214981 | Heather Carr Bergan | Physical Therapy Assistant | Roland Park Place Rehab Dept., 830 W 40th St, Baltimore, MD 21211 | 2018-05-07 |
| 1427546100 | Rebecca Meredith | Student in an Organized Health Care Education/Training Program | 843 Powers St, Baltimore, MD 21211 | 2018-04-27 |
| 1851896534 | Dexter Kendrick | Acupuncturist | 2700 Reminton Ave, Baltimore, MD 21211 | 2018-03-26 |
| 1770092678 | Bethany Grove | Counselor | 3433 Chestnut Ave, Baltimore, MD 21211 | 2017-09-22 |
| 1184140857 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2700 Remington Ave Ste 500, Baltimore, MD 21211 | 2017-08-15 |
| 1528589116 | Natalie C Hung | Psychologist | 623 W 34th St Ste 105, Baltimore, MD 21211 | 2017-07-05 |
| 1003359332 | Hannah Elise Rose | Counselor | 711 W 40th Street, Suite 425, Baltimore, MD 21211 | 2016-11-17 |
| 1376091876 | Penelope Kaikis | Speech-Language Pathologist | 3825 Greenspring Avenue, Baltimore, MD 21211 | 2016-09-14 |
| 1265862429 | Alexandra Theo Samets | Social Worker | The Baltimore Center for Psychotherapy, 623 West 34th Street #105, Baltimore, MD 21211 | 2013-11-25 |
| Find all providers in zip 21211 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801915 | Cheldone Levonne Jones | Social Worker | 1900 N Howard St # 300, Baltimore, MD 21218-5909 | 2020-11-05 |
| 1427655224 | Andrea Eve Grushka | Social Worker | 807 N Howard St, Baltimore, MD 21201-4888 | 2020-10-05 |
| 1861005829 | Lisa Denise Fisher | Social Worker | 103 Old Court Rd Ste A, Baltimore, MD 21208-4002 | 2020-08-28 |
| 1184233405 | Theresa M Foster | Social Worker | 5601 Loch Raven Blvd Ste 103, Baltimore, MD 21239-2945 | 2020-07-23 |
| 1780206623 | Leah Hairston | Social Worker | 822 Guilford Ave # 740, Baltimore, MD 21202-3707 | 2020-05-14 |
| 1740814367 | Latonuia Patrice Jones | Social Worker | 4004 Ridgecroft Rd, Baltimore, MD 21206-5030 | 2020-02-24 |
| 1093352916 | Mallory Anna Wood | Social Worker | 4805 Garrison Blvd Fl 1, Baltimore, MD 21215-5695 | 2019-12-10 |
| 1225674815 | Lyndsey Ellen Williams | Social Worker | 928 Binney St, Baltimore, MD 21224-4703 | 2019-11-19 |
| 1952943169 | Jordan Brunson | Social Worker | 1627 Waverly Way Apt E, Baltimore, MD 21239-2311 | 2019-10-09 |
| 1568012771 | Omolola Adekoya | Social Worker | 7746 Eastdale Rd, Baltimore, MD 21224-2013 | 2019-09-19 |
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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.