MARY J JELACIC


Address: 4809 Greenbelt Rd, College Park, MD 20740-2001
Phone: 3014419450

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
06933 MD Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD 06252 05

Office Location

Street Address 4809 GREENBELT RD
City COLLEGE PARK
State MD
Zip Code 20740-2001

Providers in the same location

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

Providers in the same zip code

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
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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
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
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Competitor

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City COLLEGE PARK
Zip Code 20740

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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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