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Provider Information for 1952760985


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JESSICA ORNDOFF LCSW-C


Sex: Female

NPI: 1952760985
Last Updated: 2016-02-18
Certification Date:

Details

NameValue
NPI1952760985
Enumeration Date2016-02-18
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 705 LINCOLN ST
CUMBERLAND, MD 21502-1716
United States

Phone: 301-697-9478 | Fax:
 
Primary Practice Address 507 HENDERSON AVE
CUMBERLAND, MD 21502-1562
United States

Phone: 301-724-7277 | Fax:301-724-7022
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalMD16901