Mrs Samantha Brooke Jefferson, LCSW-C is a
Social Worker based in Baltimore, Maryland. Mrs Samantha Brooke Jefferson is licensed to practice in Maryland (license number 173371) and her current practice location is
5807 Harford Rd, Baltimore, Maryland. She can be reached at her office (for appointments etc.) via phone at
(410) 444-2100.
NPI number for Mrs Samantha Brooke Jefferson is 1033750773 and her current mailing address is 5807 Harford Rd, Baltimore, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033750773.
Healthcare Provider's Profile
| Full Name | Mrs Samantha Brooke Jefferson |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 5807 Harford Rd, Baltimore, Maryland |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033750773
- Provider Enumeration Date: 10/03/2019
- Last Update Date: 10/03/2019
Medical Identifiers
Medical identifiers for Mrs Samantha Brooke Jefferson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1033750773 | NPI | - | NPPES |
| 000000 | Medicaid | MD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 934 (Maryland) | Secondary |
| 1041C0700X | Social Worker - Clinical | 173371 (Maryland) | Secondary |
| 1041S0200X | Social Worker - School | 173371 (Maryland) | Secondary |
| 104100000X | Social Worker | 173371 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Samantha Brooke Jefferson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Samantha Brooke Jefferson, LCSW-C 5807 Harford Rd, Baltimore, MD 21214-1895 Ph: (410) 444-2100 | Mrs Samantha Brooke Jefferson, LCSW-C 5807 Harford Rd, Baltimore, MD 21214-1895 Ph: (410) 444-2100 |
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