Carol Colyer, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18631 Issued in MD

Practice address

815 Ritchie Hwy Ste 213
Severna Park, MD 21146-4165

Phone

(667) 777-4935

NPI assigned

Jun 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bradford Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Severna Park, MD
  • NPI 1619441631
  NPD (past)

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1851961452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 MICHENER CT E",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 RITCHIE HWY STE 213",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464165",
            "telephone_number": "667-777-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLYER",
        "first_name": "CAROL",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "support@bradfordcounseling.com",
            "affiliation": "Y",
            "affiliationName": "Bradford Counseling Services, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "815 Ritchie Hwy Ste 213",
            "city": "Severna Park",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211464165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Coggins, OTR/L
• Andrea Colagiacomo
• Kymberle Coles, RPH
• William Nicholas Collins, PH.D.
• Mariah Colon
• Comfortably Numb, Inc.
• Compass Points Counseling LLC
• Compassion Counseling, Inc.
• Compassionate Coordinators, LLC
• Complete Care at Severna Park LLC

• Clinical Social Worker in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.