Individual provider Active NPI

Ruth Gayle Bohlman, LCSWC

  • Clinical Social Worker
  • Towson, MD
National Provider Identifier
1366550840
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2991 Issued in MD
Practice address
600 Providence Rd
Towson, MD 21286-5503
Phone
(410) 583-7443
Fax
(410) 583-0711
NPI assigned
Aug 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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 2991 MD Primary

Addresses

Primary practice location

600 Providence Rd
Towson, MD 21286-5503

Mailing address

602 Providence Rd
Towson, MD 21286-5503
Phone (410) 583-7443

Other identifiers 1

IdentifierTypeStateIssuer
41113401OtherMDBCBS

Other names 1

  • Gayle Bohlman Professional name

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
I20090105000526 MD Practitioner - Clinical Social Worker 5294898094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Maryland School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stacy Stoddard Lcmft and Associates PAGroup PAC ID 7315000114, 6 clinicians

Practice addresses (Care Compare)

602 Providence Rd
Towson, MD 21286-5503
Phone (410) 583-7443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2991MDMDClinical Social Worker

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1366550840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 PROVIDENCE RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865503",
            "telephone_number": "410-583-7443",
            "fax_number": "410-583-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PROVIDENCE RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865503",
            "telephone_number": "410-583-7443",
            "fax_number": "410-583-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHLMAN",
        "first_name": "RUTH",
        "middle_name": "GAYLE",
        "name_prefix": "Ms.",
        "credential": "LCSWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-26",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "2991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "41113401",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAYLE",
            "last_name": "BOHLMAN",
            "credential": "LCSWC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.