Christin Bubert, LGSW

Individual provider Active NPI Clinical Social Worker · Woodlawn, MD

NPI 1861890964 · NPPES record last updated Feb 25, 2025

Key facts

NPI
1861890964
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
20008 (MD)
Practice address
6707 Whitestone Rd
Woodlawn, MD 21207-4106
Phone
(410) 265-8737
NPI assigned
Dec 5, 2014
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
20008MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Health Systems, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20008 MD Yes

Addresses

Primary practice location

6707 Whitestone Rd
Woodlawn, MD 21207-4106

Mailing address

407 Central Ave
Reisterstown, MD 21136-1854
Phone (410) 517-5400

Other providers in Woodlawn, MD

All providers in Woodlawn, MD · Clinical Social Worker in Maryland

Sources for this page

Verify at the official NPI Registry.