Mrs Samantha Brooke Jefferson, LCSW-C in Baltimore, MD - Medicare Clinical Social Worker Provider

Mrs Samantha Brooke Jefferson, LCSW-C is a medicare enrolled "Social Worker" provider in Baltimore, Maryland. She graduated from healthcare school in 2011 and has 15 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Associated Behavioral Health Services, Llc and her current practice location is 5807 Harford Rd, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 444-2100.

Mrs Samantha Brooke Jefferson is licensed to practice in Maryland (license number 173371) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033750773.

Contact Information

	Mrs Samantha Brooke Jefferson, LCSW-C
	5807 Harford Rd, Baltimore, MD 21214-1895
	(410) 444-2100
	(410) 426-1140

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Samantha Brooke Jefferson
Gender	Female
Speciality	Clinical Social Worker
Experience	15 Years
Location	5807 Harford Rd, Baltimore, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Samantha Brooke Jefferson graduated from medical school in 2011

NPI Data:

NPI Number: 1033750773
Provider Enumeration Date: 10/03/2019
Last Update Date: 10/03/2019

Medicare PECOS Information:

PECOS PAC ID: 8426487174
Enrollment ID: I20200401002436

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

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Associated Behavioral Health Services, Llc	1951660224	10

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 enrolled with medicare and thus, if eligible, can 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

Mrs Samantha Brooke Jefferson, LCSW-C - Medicare Counselor in Baltimore, MD