MS. JESSICA TAWANDA FAUNTLEROY LCSW-C
NPI 1255840609
Social Worker - Clinical in Baltimore, MD

Q: What is Jessica Fauntleroy's NPI number?

The NPI number for Jessica Fauntleroy is 1255840609. It was assigned to this individual provider in the NPPES registry on September 28, 2017.

Q: What is Jessica Fauntleroy's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since September 28, 2017PECOS Enrolled

1501 DIVISION ST, BALTIMORE, MD 21217(410) 383-8300 Get Directions Write a Review

NPPES record last updated: September 28, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Jessica Tawanda Fauntleroy Lcsw-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JESSICA TAWANDA FAUNTLEROY LCSW-C (NPI 1255840609) is an individual clinical provider in Baltimore, Maryland, licensed in Maryland (15292) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255840609

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. JESSICA TAWANDA FAUNTLEROYCredential: LCSW-C

Location Address1501 DIVISION STBaltimore, MD 21217-3121

Mailing Address4017 Cranston AveBaltimore, MD 21229-1908 · (443) 282-8146

Phone(410) 383-8300

Sole ProprietorYes

Enumeration DateSeptember 28, 2017

✔ NPI 1255840609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MD · 15292

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1501 DIVISION ST, Baltimore, MD 21217

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jessica Tawanda Fauntleroy Lcsw-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21217 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $60.73 – $183.44

Typical copayment $0.00 (range $15.18 – $45.86)

Most-billed visit code NA

Established Patient

$75.47 typical visit price

range $19.60 – $149.17

Typical copayment $18.86 (range $4.90 – $37.29)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTINE MONA FLEURIMOND DO

Family Medicine (Adolescent Medicine)