Individual
MRS. JENNIFER D SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
29520 CANVASBACK DR, EASTON, MD 21601-7124
(410) 822-5007
(410) 822-5569
Mailing address
2336 GODDARD PARKWAY, SALISBURY, MD 21801
(410) 334-6961
(410) 334-6960
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14903
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
259147000
MAGELLAN GROUP
—
01
—
517251
UHC MAMSI
—
01
—
522156095
AMERICAN PSYCH SYSTEM
MD
05
—
609500300
—
MD
05
—
609500301
—
MD
05
—
609550001
—
MD
05
—
609550002
—
MD
05
—
609550004
—
MD
01
—
LM49EA
CAREFIRST BCBS
MD
01
—
R968
CAREFIRST FEDERAL
—
Enumeration date
11/08/2006
Last updated
11/30/2010
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