Organization Active NPI

Miriam F. Godfrey, LCSW-C, LLC

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1841793882
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20235 Issued in MD
Legal business name
MIRIAM F. GODFREY, LCSW-C, LLC
Practice address
600 Wyndhurst Ave Ste 205
Baltimore, MD 21210-2448
Phone
(301) 412-9740
NPI assigned
Mar 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Miriam Flavia Godfrey, LCSW-CNPI 1164967063
Title
Owner
Phone
(301) 412-9740

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 20235 MD Primary

Addresses

Primary practice location

600 Wyndhurst Ave Ste 205
Baltimore, MD 21210-2448

Mailing address

2110 Lake Ave
Baltimore, MD 21218-3128
Phone (301) 412-9740

National Provider Directory

National Provider Directory

Locations

600 Wyndhurst Ave
Ste 205
Baltimore, MD 21210
Phone (301) 412-9740

600 Wyndhurst Ave
Roland Park, MD 21210
Phone (410) 218-3302

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1841793882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 LAKE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183128",
            "telephone_number": "301-412-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WYNDHURST AVE STE 205",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102448",
            "telephone_number": "301-412-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRIAM F. GODFREY, LCSW-C, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2024-01-18",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "GODFREY",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "FLAVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-412-9740",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.