Organization
JEWISH SOCIAL SERVICE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAKIE RICE (PATIENT ACCOUNTS SPECIALIST)
(301) 816-2624
Entity
Organization
Contact information
Practice address
200 WOOD HILL RD, ROCKVILLE, MD 20850-8724
(301) 816-2624
Mailing address
6123 MONTROSE RD, ROCKVILLE, MD 20852
(301) 881-3700
(301) 468-1862
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100490
KAISER
MD
05
—
553241800
—
MD
01
—
5899245
AETNA
MD
05
—
901201000
—
MD
05
—
901201001
—
MD
01
—
A284
BCBS OF DC
DC
01
—
H564JE
BCBS OF MD
MD
Enumeration date
08/13/2006
Last updated
04/08/2024
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