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Physician Compare National (NPI:1962617969)

HEALTHCARE PROVIDER: JODY GINSBERG LCSW-C

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1962617969
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3072780220
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120111000827
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name GINSBERG
Individual professional last name
Provider First Name JODY
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1979
Individual professional's medical school graduation year
Primary Specialty CLINICAL SOCIAL WORKER
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 9475 DEERECO RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 206
Group Practice or individual's line 2 address
City TIMONIUM
Group Practice or individual's city
State MD
Group Practice or individual's state
Zip Code 210932118
Group Practice or individual's zip code (9 digits when available)
Phone Number 4109602542
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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