NPIMap

Individual provider Active NPI

Lauren R Bryant

  • Clinical Social Worker
  • Hunt Valley, MD
National Provider Identifier
1093807067
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10410 Issued in MD
Practice address
11350 McCormick Rd Ste 408
Hunt Valley, MD 21031-1002
Phone
(443) 913-0706
Fax
(410) 771-9208
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW016963 PA
Clinical Social Worker 1041C0700X 10410 MD Primary

Addresses

Primary practice location

11350 McCormick Rd Ste 408
Hunt Valley, MD 21031-1002

Mailing address

11350 McCormick Rd Ste 408
Hunt Valley, MD 21031-1002
Phone (443) 913-0706

Other practice location 1

3314 Paper Mill Rd Ste 100
Phoenix, MD 21131-1446
Phone (443) 913-0706

Other identifiers 4

IdentifierTypeStateIssuer
182964OtherCONPSYCH
431800500MedicaidMD
60875701OtherCAREFIRST MD
RS5830001OtherCAREFIRST GHMSI

Other names 1

  • Lauren R Mintzer Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW016963PAMDClinical Social Worker
10410MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Truenorth Wellness Services Past Accepting new patients
First Step Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1093807067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD STE 408",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311002",
            "telephone_number": "443-913-0706",
            "fax_number": "410-771-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD STE 408",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311002",
            "telephone_number": "443-913-0706",
            "fax_number": "410-771-9208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3314 Paper Mill Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "MD",
            "postal_code": "211311446",
            "country_code": "US",
            "telephone_number": "443-913-0706",
            "fax_number": "410-771-9208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "LAUREN",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016963",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONPSYCH",
            "identifier": "182964",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431800500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD",
            "identifier": "60875701",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST GHMSI",
            "identifier": "RS5830001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "MINTZER",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hunt Valley, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.