MARY J JELACIC (NPI# 1578751681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578751681 |
Entity Type | Individual |
Full Name | MARY J JELACIC |
Credential | LCSW |
Practice Address |
4809 Greenbelt Rd College Park MD 20740-2001 |
Practice Telephone | 3014419450 |
Mailing Telephone | 3014419150 |
Enumeration Date | 2007-10-15 |
Last Update Date | 2007-10-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
06933 | MD | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 06252 | 05 |
Street Address |
4809 GREENBELT RD |
City | COLLEGE PARK |
State | MD |
Zip Code | 20740-2001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609931849 | Pregnancy Aid Centers, Inc. | Nurse Practitioner | 4809 Greenbelt Rd, College Park, MD 20740-2001 | 2006-12-27 |
1588044911 | Christina Brose | Advanced Practice Midwife | 4809 Greenbelt Rd, College Park, MD 20740-2001 | 2015-06-01 |
1831388693 | Renee Ann Milligan | Nurse Practitioner | 4809 Greenbelt Rd, College Park, MD 20740-2001 | 2007-10-17 |
1598953101 | Nancy Ward | Advanced Practice Midwife | 4809 Greenbelt Rd, College Park, MD 20740-2001 | 2007-10-09 |
1316091317 | Alicia Renee Tomlinson | Nurse Practitioner | 4809 Greenbelt Rd, College Park, MD 20740-2001 | 2007-01-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073147633 | S.a.f.e. Counseling Services LLC | Counselor | 6210 Greenbelt Road, L 4, Berwyn Heights, MD 20740 | 2020-02-23 |
1326528621 | Ryan Rehabilitation LLC | Counselor | 7100 Baltimore Ave Ste 105, College Park, MD 20740 | 2018-08-16 |
1760981120 | L. Jones-dove & Associates Tooth Spa LLC | Dentist | 6103 Greenbelt Road, College Park, MD 20740 | 2018-02-12 |
1538682257 | Heather Gambacorto | Behavior Technician | 3525 Marlbrough Way, College Park, MD 20740 | 2017-07-25 |
1841722691 | Bradley Weitzel | Specialist/Technologist | 4068 Field House Drive, College Park, MD 20740 | 2017-03-31 |
1083152284 | Kabrima Y Petty | Nurse Practitioner | 10201 Baltimore Ave Apt 5102, College Park, MD 20740 | 2017-02-08 |
1659728517 | Brownstone Project In Md | Community/Behavioral Health | 6201 Greenbelt Rd Ste M6, Berwyn Heights, MD 20740 | 2016-05-20 |
1114371093 | Thomas Lowell Bennett | Specialist/Technologist | 7675 Baltimore Ave, R 0100, College Park, MD 20740 | 2016-04-18 |
1306226808 | Linda Ronma Williams | Nurse Practitioner | 4701 Melbourne Place, College Park, MD 20740 | 2015-06-01 |
1124427927 | Sarah Elizabeth Woerner | Pharmacist | 7300 Baltimore Boulevard, College Park, MD 20740 | 2014-08-18 |
Find all providers in zip 20740 |
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 |
---|---|---|---|---|
1205436607 | Rachel Sherman | Social Worker | 3101 Susquehanna Hall 4200 Lehigh Rd, College Park, MD 20742-0001 | 2020-10-27 |
1689288045 | Ebony C Booker | Social Worker | 135 Alicante St, College Park, GA 30349-8493 | 2020-09-03 |
1649894007 | Social Work Foundation, Inc | Social Worker | 3707 Main St # 11-2, College Park, GA 30337-3544 | 2020-06-02 |
1952920514 | Harmony's Path Counseling & Wellness LLC | Social Worker | 1876 Princeton Ave Ste 200, College Park, GA 30337-3519 | 2020-04-14 |
1487284071 | Katherine Mae O'mailey | Social Worker | 140 Campus Drive University of Maryland, College Park, MD 20742-0001 | 2020-01-22 |
1316504285 | Ram Circle Counseling & Coaching | Social Worker | 7100 Baltimore Ave Ste 208, College Park, MD 20740-3638 | 2019-05-25 |
1285100669 | Lester Brian Koen | Social Worker | 7305 Baltimore Ave Ste 207, College Park, MD 20740-3232 | 2018-10-23 |
1033699418 | Megan Elizabeth Mckernan | Social Worker | 4511 Knox Rd Ste 201, College Park, MD 20740-3380 | 2018-08-15 |
1255828539 | Joycelia Lewis | Social Worker | 4827 Old National Hwy # 1216, College Park, GA 30337-6234 | 2018-04-23 |
1114475563 | Jasmine V Mccully | Social Worker | 5864 Summergien Lane, College Park, GA 30349 | 2016-09-14 |
Find all providers in COLLEGE PARK |
City | COLLEGE PARK |
Zip Code | 20740 |
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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.