Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emmanuel Jefferson, LCSW-C

Individual provider Clinical Social Worker · NPI 1366139891

Emmanuel Jefferson, LCSW-C is a Clinical Social Worker in Salisbury, Maryland. Qualified in 2022, 4 years ago. Practices with Tidalhealth Specialty Care LLC, a 366-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
4
Licensed in
MD
In the registry since
2023
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Practice location Address checks out

100 E Carroll St
Salisbury, MD 21801-5422
Phone: (410) 912-6713
Fax: (410) 912-6724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 28259 (MD)

Record details

NPI number1366139891
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-C
Sole proprietorNo
NPI enumeratedApril 24, 2023
Last updated in NPPESApril 24, 2023
Certification dateApril 24, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Tidalhealth Specialty Care Llc — 366 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Salisbury