Mrs Samantha Brooke Jefferson, LCSW-C is a medicare enrolled "Social Worker" provider in Baltimore, Maryland. 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.
Healthcare Provider's Profile
Full Name | Mrs Samantha Brooke Jefferson |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 5807 Harford Rd, Baltimore, Maryland |
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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 attended and graduated from in
NPI Data:
- NPI Number: 1033750773
- Provider Enumeration Date: 10/03/2019
- Last Update Date: 10/03/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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
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 |
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