Active NPI
Gaylena Addie Bivens, PHD, LMSW
- Social Worker
- Salisbury, MD
National Provider Identifier
1043966609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- G05522
- Practice address
- 6508 Deer Pointe Dr
Salisbury, MD 21804-1668 - Phone
- (410) 742-6016
- NPI assigned
- Feb 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | G05522 | MD | Primary |
Addresses
Primary practice location
6508 Deer Pointe Dr
Salisbury, MD 21804-1668
Mailing address
5696 Royal Mile Blvd
Salisbury, MD 21801-2317
Phone (410) 251-6024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G05522 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1043966609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5696 ROYAL MILE BLVD",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218012317",
"telephone_number": "410-251-6024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6508 DEER POINTE DR",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218041668",
"telephone_number": "410-742-6016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIVENS",
"first_name": "GAYLENA",
"middle_name": "ADDIE",
"credential": "PHD, LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-22",
"last_updated": "2022-02-22",
"certification_date": "2022-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "G05522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.