JERNAE DICKENS (NPI# 1235601337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235601337 |
| Entity Type | Individual |
| Full Name | JERNAE DICKENS |
| Practice Address |
8602 Otter Creek Rd Laurel MD 20724-1984 |
| Practice Telephone | 2022468323 |
| Mailing Telephone | 2022468323 |
| Enumeration Date | 2018-12-30 |
| Last Update Date | 2018-12-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LGPC00520 | DC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4014 Georgia Ave Nw, Washington, DC 200115857 | 2022468323 |
| Street Address |
8602 OTTER CREEK RD |
| City | LAUREL |
| State | MD |
| Zip Code | 20724-1984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336618 | Rupesh Sheth | Pharmacist | Sams's Club, 3535 Russett Green E, Laurel, MD 20724 | 2020-11-03 |
| 1841897360 | Alexia Jones | Specialist | 7903 Orion Cir Unit C- 431, Laurel, MD 20724 | 2020-10-07 |
| 1619456720 | Franklin F Cho Tumasang | Home Health Aide | 8085 Pennington Dr, Laurel, MD 20724 | 2018-08-09 |
| 1134622871 | Alberta Derkyi | Nurse Practitioner | 3404 Bitterwood Place, #i003, Laurel, MD 20724 | 2018-03-08 |
| 1497272892 | Kelly Elise Ferguson | Acupuncturist | 3115 Burning Springs Rd Apt 2a, Laurel, MD 20724 | 2017-08-25 |
| 1245752625 | Ngwe Ernestine Ndikum | Home Health Aide | 3573 Fort Meade Road Apt 512, Laurel, MD 20724 | 2017-07-07 |
| 1063943496 | Jennifer Nowell | Counselor | 3407 Holly Creek Drive Apt 1a, Laurel, MD 20724 | 2017-03-27 |
| 1912369315 | Josiane Kameni Sahok | Home Health Aide | 8057 Ians Alley, Laurel, MD 20724 | 2016-03-24 |
| 1851641955 | Kelvinda Kamara | Nurse Practitioner | 7903 Orion Circle, D234 Nurse Practitioner On Call, Laurel, MD 20724 | 2012-09-16 |
| 1164787578 | Kaday Jalloh | Home Health Aide | 8605 Woodland Manor Drive, Laurel, MD 20724 | 2012-07-11 |
| Find all providers in zip 20724 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053231 | All Is Well Therapeutic Services, LLC | Counselor | 3625 Sweetbush Trl, Laurel, MD 20724-2493 | 2020-11-06 |
| 1629678107 | Shamonique Driskell | Counselor | 14625 Baltimore Ave # 817, Laurel, MD 20707-4902 | 2020-10-26 |
| 1821624354 | Radiant Therapy, LLC | Counselor | 14201 Laurel Park Dr Ste 106, Laurel, MD 20707-5203 | 2020-03-16 |
| 1396380762 | Deana Weems | Counselor | 845 N 5th Ave, Laurel, MS 39440-2701 | 2019-11-08 |
| 1043851629 | Lorraine Marie Helferich | Counselor | 14800 4th St Apt 53a, Laurel, MD 20707-3712 | 2019-10-04 |
| 1174081913 | Darrius Humphrey | Counselor | 7625 Wood Lawn Boulevard, Medical Arts Building, Suite Ll50, Laurel, MD 20759 | 2019-03-12 |
| 1205305786 | Nina Mitchell | Counselor | 196 Ertter Dr Apt 203, Laurel, MD 20724-2121 | 2018-11-14 |
| 1891279220 | Wendi Gordon | Counselor | 7310 Doddington Ct, Laurel, MD 20707-9420 | 2018-09-21 |
| 1194217091 | Matclinic Physicians Practice Group LLC | Counselor | 601 7th St Ste 304, Laurel, MD 20707-4011 | 2018-06-06 |
| 1073021911 | Arlene Patricia Wood | Counselor | 517 Willow Street, Laurel, DE 19956 | 2018-01-12 |
| Find all providers in LAUREL | ||||
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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.