MRS. SAMANTHA BROOKE JEFFERSON (NPI# 1033750773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033750773 |
| Entity Type | Individual |
| Full Name | MRS. SAMANTHA BROOKE JEFFERSON |
| Credential | LCSW-C |
| Practice Address |
5807 Harford Rd Baltimore MD 21214-1895 |
| Practice Telephone | 4104442100 |
| Practice Fax Number | 4104261140 |
| Mailing Telephone | 4104442100 |
| Mailing Fax Number | 4104261140 |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
934 | MD | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | 173371 | MD | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
173371 | MD | Behavioral Health & Social Service Providers |
| N | 1041S0200X |
Social Worker Specialization: School |
173371 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 000000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619221058 | Samantha Mathis Jefferson | Speech-Language Pathologist | 3429 Westminister Ave, Monroe, LA 71201-2913 | 2012-11-07 |
| 1598201238 | Samantha Jefferson | Counselor | 360 N Irby St, Florence, SC 29501 | 2017-01-18 |
| Street Address |
5807 HARFORD RD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21214-1895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366429052 | Harbel Community Organization Inc | Peer Specialist | 5807 Harford Rd, Baltimore, MD 21214-1848 | 2005-12-23 |
| 1437570041 | Harbel Community Organization, Inc. | Clinic/Center | 5807 Harford Rd, Baltimore, MD 21214-1848 | 2013-12-27 |
| 1790106318 | Harbel Community Organization, Inc. | Counselor | 5807 Harford Rd, Baltimore, MD 21214-1848 | 2013-12-27 |
| 1700221165 | David Myer Ehrlich | Counselor | 5807 Harford Rd, Baltimore, MD 21214-1848 | 2013-04-30 |
| 1659615490 | Kimberly Ann Szager-hemler | Counselor | 5807 Harford Rd, Baltimore, MD 21214-1848 | 2012-11-17 |
| 1851545198 | Martha H Montgomery | Social Worker | 5807 Harford Rd, Baltimore, MD 21214-1848 | 2008-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811544034 | Emani Williams | Behavior Technician | 4606 Walker Avenue, Baltimore, MD 21214 | 2019-08-22 |
| 1457831166 | Smith Podiatry & Associates LLC | Clinic/Center | 5610 Harford Rd Ste A, Baltimore, MD 21214 | 2018-08-21 |
| 1013435387 | Marcus Motton | Clinic/Center | 5629 Harford Road, Baltimore, MD 21214 | 2017-09-06 |
| 1528432143 | Beverly Jean Tellis | Social Worker | 6310 Harford Road, Baltimore, MD 21214 | 2015-11-19 |
| 1972848745 | Amy M Young | Occupational Therapist | 5908 Edna Ave, Baltimore, MD 21214 | 2012-12-05 |
| 1306112693 | The Good Samaritan Hospital of Maryland, Inc. | Clinic/Center | 4700 Hartford Road, Baltimore, MD 21214 | 2012-03-30 |
| 1578731824 | Rebecca Michele Green | Speech-Language Pathologist | 5302 Plymouth Road, Baltimore, MD 21214 | 2008-02-20 |
| 1891975918 | Karen Schmidt | Occupational Therapist | 604 Hartford Rd., Baltimore, MD 21214 | 2007-11-06 |
| 1972790533 | Patricia Mary Marchetti Smith | Speech-Language Pathologist | 2709 Woodsdale Avenue, Baltimore, MD 21214 | 2007-09-27 |
| 1780896290 | Scott David Hubert | Dentist | 5810 Harford Rd, Baltimore, MD 21214 | 2007-05-04 |
| Find all providers in zip 21214 | ||||
| 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 |
| 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.