Individual provider Active NPI

Alexandra Ling, LCSW-C

  • Clinical Social Worker
  • Severna Park, MD
National Provider Identifier
1255057311
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
877 Baltimore Annapolis Blvd # Md308
Severna Park, MD 21146-4700
Phone
(667) 777-4935
Fax
(443) 775-7733
NPI assigned
Oct 19, 2022
Last updated
Oct 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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 MD Primary

Addresses

Primary practice location

877 Baltimore Annapolis Blvd # Md308
Severna Park, MD 21146-4700

Mailing address

221 W Lanvale St Apt 1F
Baltimore, MD 21217-4147
Phone (703) 200-9958

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL talya@bradfordcounseling.com Bradford Counseling Services, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 23, 2024 through Jul 23, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bradford Counseling Services, LLC PastSince Jun 1, 2024 Accepting new patients

Organizations & group practices 1

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": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1255057311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W LANVALE ST APT 1F",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212174147",
            "telephone_number": "703-200-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 BALTIMORE ANNAPOLIS BLVD # MD308",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464700",
            "telephone_number": "667-777-4935",
            "fax_number": "443-775-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LING",
        "first_name": "ALEXANDRA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "talya@bradfordcounseling.com",
            "affiliation": "Y",
            "affiliationName": "Bradford Counseling Services, LLC",
            "address_1": "877 Baltimore Annapolis Blvd # Md308",
            "city": "Severna Park",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211464700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

Verify at the official NPI Registry.