Provider Demographics
NPI:1609301050
Name:BEARD, JENNIFER GARLAND (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:GARLAND
Last Name:BEARD
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2271
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21404-2271
Mailing Address - Country:US
Mailing Address - Phone:443-822-7521
Mailing Address - Fax:888-294-5730
Practice Address - Street 1:170 WEST ST
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-2824
Practice Address - Country:US
Practice Address - Phone:443-822-7521
Practice Address - Fax:888-294-5730
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-24
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD45831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical