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JESSICA MCKINNIE LCSW-C, LICSW
NPI 1316442619
Social Worker - Clinical in Bowie, MD

Active since March 28, 2018PECOS Enrolled
10111 MARTIN LUTHER KING JR HWY STE 118, BOWIE, MD 20720(301) 200-1885 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 22, 2022, Jul 21, 2022, Mar 28, 2018 (3 updates tracked since 2018).

About Jessica Mckinnie Lcsw-c, Licsw NPPES

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

JESSICA MCKINNIE LCSW-C, LICSW (NPI 1316442619) is an individual clinical provider in Bowie, Maryland, licensed in Maryland (15636) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Olney, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1316442619
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA MCKINNIECredential: LCSW-C, LICSW
Location Address10111 MARTIN LUTHER KING JR HWY STE 118Bowie, MD 20720-4226
Mailing Address7006 Palamar TerLanham, MD 20706-2151 · (301) 257-3276
Phone(301) 200-1885
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 28, 2018
Last NPPES UpdateDecember 22, 20223 updates tracked since enumeration
NPPES CertifiedDecember 22, 2022
✔ NPI 1316442619 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 · 15636
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.
10111 MARTIN LUTHER KING JR HWY STE 118, Bowie, MD 20720
Open in Google Maps ↗

Secondary Practice Location 1

Location 13300 Olney Sandy Spring Rd Ste 340Olney, MD 20832-3306 · Phone (301) 570-7500 · Fax (301) 570-7504

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID1951664028
PECOS Enrollment IDI20221103000168
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.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Mckinnie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Life & Peace Counseling LLC
Same address
Mental Health (Including Community Mental Health Center)
10111 MARTIN LUTHER KING JR HWY STE 118
Bowie, MD 20720
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
NPI 1740915958 (301) 257-3276

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
214 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20720 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 $65.18 – $194.86
Typical copayment $0.00 (range $16.29 – $48.71)
Most-billed visit code NA
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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 3

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

GOSIMPLE NUTRITION LLC
Dietitian, Registered
10111 MARTIN LUTHER KING JR HWY STE 118
BOWIE, MD 20720
Prince George's County (240) 241-0519
LIFE & PEACE COUNSELING LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
10111 MARTIN LUTHER KING JR HWY STE 118
BOWIE, MD 20720
Prince George's County (301) 257-3276
AMINTA BULLARD RD
Dietitian, Registered
10111 MARTIN LUTHER KING JR HWY STE 118
BOWIE, MD 20720
Prince George's County (240) 241-0519

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Mckinnie's NPI number?

The NPI number for Jessica Mckinnie is 1316442619. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Where is Jessica Mckinnie located?

Jessica Mckinnie practices at 10111 Martin Luther King Jr Hwy Ste 118, Bowie, MD 20720. The listed phone number is (301) 200-1885.

What is Jessica Mckinnie's specialty?

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

Is Jessica Mckinnie enrolled in Medicare?

Yes. Jessica Mckinnie is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Mckinnie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Mckinnie reassigns Medicare benefits to Life & Peace Counseling LLC (Bowie, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Mckinnie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Mckinnie was last updated on December 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.