Active NPI
Blair Catlin Brown, LCSW-C
- Clinical Social Worker
- Mardela Springs, MD
National Provider Identifier
1811125263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- Q1-0001114
- Practice address
- 23704 Ocean Gtwy
Mardela Springs, MD 21837-2101 - Phone
- (410) 422-2545
- Fax
- (410) 677-0303
- NPI assigned
- Jun 24, 2009
- Last updated
- Mar 29, 2013
- Sex
- Female
- Sole proprietor
- No
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 | Q1-0001114 | DE | Primary |
| Clinical Social Worker | 1041C0700X | 15118 | MD |
Addresses
Primary practice location
23704 Ocean Gtwy
Mardela Springs, MD 21837-2101
Mailing address
23704 Ocean Gtwy
Mardela Springs, MD 21837-2101
Phone (410) 422-2545
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 609550002 | Medicaid | MD | |
| 609550004 | Medicaid | MD | |
| 609550001 | Medicaid | MD |
Other names 1
- Mrs. Blair Catlin
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
| License | State | Type | Specialty |
|---|---|---|---|
| Q1-0001114 | DE | MD | Clinical Social Worker |
| 15118 | MD | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364515200000",
"number": "1811125263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23704 OCEAN GTWY",
"city": "MARDELA SPRINGS",
"state": "MD",
"postal_code": "218372101",
"telephone_number": "410-422-2545",
"fax_number": "410-677-0303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23704 OCEAN GTWY",
"city": "MARDELA SPRINGS",
"state": "MD",
"postal_code": "218372101",
"telephone_number": "410-422-2545",
"fax_number": "410-677-0303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CATLIN BROWN",
"first_name": "BLAIR",
"name_prefix": "Mrs.",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-24",
"last_updated": "2013-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DE",
"license": "Q1-0001114",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "15118",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "609550002",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "609550004",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "609550001",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BLAIR",
"last_name": "CATLIN",
"prefix": "MRS.",
"credential": "LCSW-C",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Mardela Springs, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.