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KYLE PATRICK JERNIGAN LGSW
NPI 1417465808
Social Worker in Baltimore, MD

Active since January 19, 2018PECOS EnrolledAccepts Medicare Assignment
3825 GREENSPRING AVE, BALTIMORE, MD 21211(443) 923-7869 Get Directions Write a Review

NPPES record last updated: January 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kyle Patrick Jernigan Lgsw NPPES

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

KYLE PATRICK JERNIGAN LGSW (NPI 1417465808) is an individual social worker in Baltimore, Maryland, licensed in Maryland (20821) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1417465808
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameKYLE PATRICK JERNIGANCredential: LGSW
Location Address3825 GREENSPRING AVEBaltimore, MD 21211-1310
Mailing Address500 Park Ave Apt 409Baltimore, MD 21201-4927
Phone(443) 923-7869
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 19, 2018
✔ NPI 1417465808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MD · 20821
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
3825 GREENSPRING AVE, Baltimore, MD 21211
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kyle Patrick Jernigan Lgsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749533594
PECOS Enrollment IDI20181025001240
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.

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.

KIMBERLY R BUCKLEY LMSW
Social Worker (School)
3825 GREENSPRING AVE
BALTIMORE, MD 21211
Baltimore City (443) 923-7800
MS. JACQUELINE A PASCIUTO M.A., CCC-SLP
Speech-Language Pathologist
3825 GREENSPRING AVE
BALTIMORE, MD 21211
Baltimore City (443) 923-7806
MS. SHOSHANA PEAR
Speech-Language Pathologist
3825 GREENSPRING AVE
BALTIMORE, MD 21211
Baltimore City (443) 923-4574
ABIGAIL MOSS MA
Speech-Language Pathologist
3825 GREENSPRING AVE
BALTIMORE, MD 21211
Baltimore City (443) 923-7800
MS. DEBBRA YVONNE HOUSE
Registered Nurse (School)
3825 GREENSPRING AVE
BALTIMORE, MD 21211
Baltimore City (443) 923-7826
NICOLE KYGER BISHOP
Counselor (Mental Health)
3825 GREENSPRING AVE
BALTIMORE, MD 21211
Baltimore City (443) 923-7800
ANDREA AUMENT MA, CF-SLP
Speech-Language Pathologist
3825 GREENSPRING AVE
BALTIMORE, MD 21211
Baltimore City (443) 923-7800
MR. CHRISTIAN DOSCHER LMSW
Social Worker
3825 GREENSPRING AVE
BALTIMORE, MD 21211
Baltimore City (443) 923-7800

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 Kyle Jernigan's NPI number?

The NPI number for Kyle Jernigan is 1417465808. It was assigned to this individual provider in the NPPES registry on January 19, 2018.

Where is Kyle Jernigan located?

Kyle Jernigan practices at 3825 Greenspring Ave, Baltimore, MD 21211. The listed phone number is (443) 923-7869.

What is Kyle Jernigan's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kyle Jernigan enrolled in Medicare?

Yes. Kyle Jernigan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kyle Jernigan accept?

Health plans from Providence Health Plan list Kyle Jernigan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kyle Jernigan was last updated on January 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.