MEDICARE: JADE DANIELS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	28750	MD

General Provider Information

NPI Number	:	1114779048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JADE DANIELS

Provider Business Mailing Address
First Line	:	900 E 41ST ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21218-1301
Country	:	US
Telephone Number	:	443-562-2495
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 E 41ST ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21218-1301
Country	:	US
Telephone Number	:	443-562-2495
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2024
Last Update Date	:	06/01/2026

Similar Medicare Providers

1407960032 — STEVEN ALLEN BLACKWELL PH.D., J.D., R.PH.
Practice Location Address:

7500 SECURITY BLVD # C3-20-17 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244-1849

Practice Phone: 410-786-6852
Practice Fax:

1396961561 — DR. MARSHA SMITH MD
Practice Location Address:

7500 SECURITY BOULEVARD , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21201-2301

Practice Phone: 410-786-6614
Practice Fax:

1134335441 — JULIE DAWN PREIS
Practice Location Address:

7500 SECURITY BLVD MS C1-13-07 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244

Practice Phone: 410-786-0525
Practice Fax:

1700852159 — DR. PHILIP KONITS
Practice Location Address:

2059 BALTIMORE BLVD
FINKSBURG, MD
21048-1301

Practice Phone: 410-876-5148
Practice Fax:

1033149257 — NEXUS-WOODBOURNE FAMILY HEALING
Practice Location Address:

1301 WOODBOURNE AVE
BALTIMORE, MD
21239-3316

Practice Phone: 410-433-1000
Practice Fax: 410-435-2938

1134291156 — LIFEBRIDGE SPORTS MEDICINE & REHABILITATION LLC
Practice Location Address:

1836 GREENE TREE RD
BALTIMORE, MD
21208-1301

Practice Phone: 410-486-9992
Practice Fax: 410-486-8680

Directions to “ JADE DANIELS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.