Individual provider Active NPI

Birgit J Locklear, LSCW-C

  • Clinical Social Worker
  • White Plains, MD
National Provider Identifier
1114366549
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14254 Issued in MD
Practice address
4545 Crain Hwy
White Plains, MD 20695-3045
Phone
(301) 609-6729
Fax
(301) 609-6741
NPI assigned
Jun 19, 2013
Last updated
Jun 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14254 MD Primary

Addresses

Primary practice location

4545 Crain Hwy
White Plains, MD 20695-3045

Mailing address

16475 Steeplechase CT
Hughesville, MD 20637-2868
Phone (301) 538-3753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170306000000 MD Practitioner - Clinical Social Worker 6406135169 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pathways IncGroup PAC ID 8527160597, 16 clinicians

Practice addresses (Care Compare)

44101 Airport View Dr
Hollywood, MD 20636-3145
Phone 3013733065241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14254MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Charles County Department of Health CurrentSince Jan 16, 2017 Accepting new patients
Pathways Inc Current Accepting new patients
Pathways Inc CurrentSince Sep 10, 2018 Accepting new patients
Pathways Inc CurrentSince Sep 10, 2018 Accepting new patients
Charles County Department of Health CurrentSince Jan 16, 2017 Accepting new patients
Charles County Health Department Current Accepting new patients

Locations

44101 Airport View Dr
Hollywood, MD 20636
Phone (301) 373-3065

2670 Crain Hwy
Ste 300
Waldorf, MD 20601
Phone (301) 632-5750

4545 Crain Hwy
White Plains, MD 20695
Phone (301) 609-6900

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1114366549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16475 STEEPLECHASE CT",
            "city": "HUGHESVILLE",
            "state": "MD",
            "postal_code": "206372868",
            "telephone_number": "301-538-3753",
            "fax_number": "301-609-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 CRAIN HWY",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953045",
            "telephone_number": "301-609-6729",
            "fax_number": "301-609-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKLEAR",
        "first_name": "BIRGIT",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LSCW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, MD

Sources for this page

Verify at the official NPI Registry.