Hodge, Jeriesha

Hodge, Jeriesha is an sole proprietor health care provider with primary practice located at 1412 Crain Hwy N Ste 5B , Glen Burnie MD 21061-9306. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Hodge, Jeriesha can be contacted via phone (202) 531-0231.

Contact Information

Primary practice address
1412 Crain Hwy N Ste 5B Glen Burnie MD 21061-9306
Phone: (202) 531-0231
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LC6401 Maryland
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LC6401 Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X LC6401 Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC6401 Maryland

Profile Details

NPI number 1841656931
LBN Legal business name Hodge, Jeriesha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2016
Last updated Feb 12th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841656931 NPPES
Maryland MEDICAID 660402100
Maryland MEDICAID 745048600

Popular Providers