LIFE MANAGEMENT OF MARYLAND — NPI 1275121113 (Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical in SALISBURY, MD)

CMS-1500 Box 24J / 33a • NPI

1275121113

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

1041C0700X (CMS 80)

Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical

Box 32 Service Location & ZIP+4

209 E MARKET ST STE 10A, SALISBURY, MD, 21801-4992

✓ 9-Digit EDI 837 ZIP+4 (21801-4992)

Practice Phone & Referral Fax

(443) 503-3481

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1275121113 (LIFE MANAGEMENT OF MARYLAND) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1275121113` (NPI-2 Organization / Facility)
Provider / Legal Name	LIFE MANAGEMENT OF MARYLAND
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical NUCC Code: `1041C0700X` (Social Worker, Clinical)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	209 E MARKET ST STE 10A, SALISBURY, MD, 21801-4992
Practice Telephone / Fax	Tel: (443) 503-3481
Administrative Mailing Address	209 W JEWELL ST, DELMAR, DE, 19940-1008
Enumeration & Last Sync	Enumerated: 2021-01-06 \| CMS Record Updated: 2021-01-06
Authorized Official	JERILISHA JONES (Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

209 E MARKET ST STE 10A, SALISBURY, MD, 21801-4992

🗺️ Open in Google Maps 🏥 More Providers in SALISBURY

🔒 Are you LIFE MANAGEMENT OF MARYLAND? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (1041C0700X)

What Does Taxonomy Code 1041C0700X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1041C0700X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 80 (Licensed Clinical Social Worker)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Social Worker, Clinical for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (LIFE MANAGEMENT OF MARYLAND)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`1041C0700X` — Social Worker, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

LIFE MANAGEMENT OF MARYLAND (NPI #1275121113)