Individual provider Active NPI

Miriam M Love, L.C.S.W-C

  • Clinical Social Worker
  • Columbia, MD
National Provider Identifier
1588770523
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10061 Issued in MD
Practice address
7120 Minstrel Way
Suite 203
Columbia, MD 21045
Phone
(443) 325-1151
Fax
(410) 381-4711
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 10061 MD Primary
Clinical Social Worker 1041C0700X 0904001503 VA

Addresses

Primary practice location

7120 Minstrel Way
Suite 203
Columbia, MD 21045

Mailing address

11041 Dorsch Farm Rd
Ellicott City, MD 21042-6267
Phone (410) 992-1469

Other identifiers 6

IdentifierTypeStateIssuer
PVPB108875OtherMDAPS PROV #
10061OtherMDMD PROFESSIONAL LICENSE
465267OtherMDMAMSI PROV #
279529OtherMDVALUE OPTIONS PROVIDER #
0904001503OtherVAPROFESSIONAL LICENSE
S0694OtherMDCIGNA PROV #

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
I20070410000130 MD Practitioner - Clinical Social Worker 5395747679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10015 Old Columbia Rd
Columbia, MD 21046-1865
Phone (443) 325-1151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904001503VAMDClinical Social Worker
10061MDMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Miriam M. Love, LCSW-C, P.a. Clinical CurrentSince Oct 1, 2006 Accepting new patients

Locations

10015 Old Columbia Rd
Ste B215
Columbia, MD 21046
Phone (410) 312-7631

7120 Minstrel Way
Ste 203
Columbia, MD 21045
Phone (410) 381-4411

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1588770523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11041 DORSCH FARM RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426267",
            "telephone_number": "410-992-1469",
            "fax_number": "441-038-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 MINSTREL WAY",
            "address_2": "SUITE 203",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21045",
            "telephone_number": "443-325-1151",
            "fax_number": "410-381-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "MIRIAM",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10061",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001503",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS PROV #",
            "identifier": "PVPB108875",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD PROFESSIONAL LICENSE",
            "identifier": "10061",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI PROV #",
            "identifier": "465267",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER #",
            "identifier": "279529",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "0904001503",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROV #",
            "identifier": "S0694",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.