Active NPI
Miriam M Love, L.C.S.W-C
- Clinical Social Worker
- Columbia, MD
National Provider Identifier
1588770523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10061
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PVPB108875 | Other | MD | APS PROV # |
| 10061 | Other | MD | MD PROFESSIONAL LICENSE |
| 465267 | Other | MD | MAMSI PROV # |
| 279529 | Other | MD | VALUE OPTIONS PROVIDER # |
| 0904001503 | Other | VA | PROFESSIONAL LICENSE |
| S0694 | Other | MD | CIGNA 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0904001503 | VA | MD | Clinical Social Worker |
| 10061 | MD | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miriam M. Love, LCSW-C, P.a. | Clinical | Current | 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.
-
- Clinical Social Worker
- Columbia, MD
- NPI 1053493031
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.