Provider Demographics
NPI:1871291898
Name:NORTH, JILL (LMSW)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:NORTH
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 1:14221 GREENSPAN LN
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-2510
Mailing Address - Country:US
Mailing Address - Phone:301-804-8167
Mailing Address - Fax:
Practice Address - Street 1:626 TOWNE CENTER DR
Practice Address - Street 2:
Practice Address - City:JOPPA
Practice Address - State:MD
Practice Address - Zip Code:21085-4446
Practice Address - Country:US
Practice Address - Phone:443-313-3240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-20
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker