Individual provider Active NPI

Yvonna Jean Love, LCSW-C

  • Clinical Social Worker
  • Upper Marlboro, MD
National Provider Identifier
1699916171
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12717 Issued in MD
Practice address
9155 Fox Stream Way
Upper Marlboro, MD 20772-2517
Phone
(240) 506-0424
Fax
(240) 607-7165
NPI assigned
Mar 13, 2009
Last updated
Aug 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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 12717 MD Primary

Addresses

Primary practice location

9155 Fox Stream Way
Upper Marlboro, MD 20772-2517

Mailing address

9155 Fox Stream Way
Upper Marlboro, MD 20772-2517
Phone (240) 506-0424

Other identifiers 1

IdentifierTypeStateIssuer
006208100MedicaidMD

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12717MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Neurotherapy Center of Washington, Inc. Clinical Past 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": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1699916171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9155 FOX STREAM WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207722517",
            "telephone_number": "240-506-0424",
            "fax_number": "240-607-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9155 FOX STREAM WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207722517",
            "telephone_number": "240-506-0424",
            "fax_number": "240-607-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "YVONNA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-13",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006208100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.