Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jennifer Gordon

Speech-Language Pathologist β€’ Frederick, MD

Active NPI 1619368099 Individual Practitioner Female Practitioner
Practice location in NPPES

350 Montevue Ln
Frederick, MD 217028214

Call 3016001677 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

350 Montevue Ln

Frederick, MD 217028214

Telephone 3016001677
Organization at the Same NPPES Address or Phone
Frederick County Health Department Facility NPI 1083603914

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Owings Mills, MD. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Frederick and Maryland

135 active clinicians are listed under Speech-Language Pathologist with a practice address in Frederick, MD (4,510 in Maryland).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Frederick

0.7% of these 135 clinicians have the CMS telehealth indicator.

3.7% of these 135 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MD 06912

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Maryland Board of Physicians.
Look Up on State Board Site

Secondary Practice Locations

11500 Cronridge Dr, Suite 130

Owings Mills, MD 211172261

Phone: 4105171113

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

10 listed
Fredrick Balius , MSW, LCSW-C

Social Worker - Clinical

NPI 1225027139

Master of Social Work, Licensed Clinical Social Worker - Certified

Eva Beavan , MSW, LCSW-C

Social Worker - Clinical

NPI 1194806927

Master of Social Work, Licensed Clinical Social Worker - Certified

Dr. Randall Culpepper , MD, MPH

Preventive Medicine - Public Health & General Preventive Medicine

NPI 1366728610

Doctor of Medicine (M.D.), Master of Public Health

Sarah Dupree , LCPC

Counselor - Professional

NPI 1134435233

Licensed Clinical Professional Counselor

Dr. Richard Haber , MD

Psychiatry & Neurology - Addiction Psychiatry

NPI 1720069156

Doctor of Medicine (M.D.)

Dr. Sangwoon Han , MD

Psychiatry & Neurology - Psychiatry

NPI 1477542181

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location December 18, 2018

Registered at 350 MONTEVUE LN, FREDERICK, MD 217028214 (Tel: 3016001677)

πŸ‘€
Provider Name / Credentials Updated December 18, 2018

Recorded as JENNIFER GORDON

βœ…
NPI Profile Active February 06, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 06, 2015

Registered at 11500 CRONRIDGE DR, SUITE 130, OWINGS MILLS, MD 211172261 (Tel: 4105171113)

πŸ“
Business Mailing Address (Initial Record) February 06, 2015

Registered at 11500 CRONRIDGE DR, SUITE 130, OWINGS MILLS, MD 211172261 (Tel: 4105171113)

πŸ‘€
Provider Name / Credentials (Initial Record) February 06, 2015

Recorded as JENNIFER MELANSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2015

Speech-Language Pathologist (license number reported to NPPES: MD 06912)

🟒
Initial NPI Registration & Enumeration February 06, 2015

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1619368099
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2015
Last Update: December 18, 2018
Sole Proprietor: No

Other Speech-Language Pathologists in Frederick

All Speech-Language Pathologists in Frederick

Mailing Address

11500 Cronridge Dr, Suite 130

Owings Mills, MD 211172261

Phone: 4105171113

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.