Provider Demographics
NPI:1235952532
Name:RINEHART, JENNIFER SUSAN (LMSW)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:SUSAN
Last Name:RINEHART
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29636 APPLE DR
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:MD
Mailing Address - Zip Code:21625-2800
Mailing Address - Country:US
Mailing Address - Phone:410-320-1950
Mailing Address - Fax:
Practice Address - Street 1:29636 APPLE DR
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:MD
Practice Address - Zip Code:21625-2800
Practice Address - Country:US
Practice Address - Phone:410-320-1950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD29698101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health