Active NPI
Brigdgett Martin-Love, LCSW-C
- Clinical Social Worker
- Columbia, MD
National Provider Identifier
1235422494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11814
- Practice address
- 10801 Hickory Ridge Rd Ste 215
Columbia, MD 21044-3871 - Phone
- (717) 428-0552
- NPI assigned
- May 20, 2011
- Last updated
- Dec 13, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11814 | MD | Primary |
Addresses
Primary practice location
10801 Hickory Ridge Rd Ste 215
Columbia, MD 21044-3871
Mailing address
PO Box 134
Loganville, PA 17342-0134
Phone (717) 428-0552
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11814 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solutions for Mindfulness PA | Clinical | Past | Accepting new patients |
| Solutions for Mindfulness, PA | Clinical | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Columbia, MD
- NPI 1972878874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323734400000",
"number": "1235422494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 134",
"city": "LOGANVILLE",
"state": "PA",
"postal_code": "173420134",
"telephone_number": "717-428-0552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10801 HICKORY RIDGE RD STE 215",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443871",
"telephone_number": "717-428-0552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN-LOVE",
"first_name": "BRIGDGETT",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-20",
"last_updated": "2011-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "11814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.