Active NPI
Mavlyn Bazil
- Social Worker
- Columbia, MD
National Provider Identifier
1881349306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 28067
- Practice address
- 9736 Early Spring Way
Columbia, MD 21046-2054 - Phone
- (703) 398-5270
- NPI assigned
- Feb 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 28067 | MD | Primary |
Addresses
Primary practice location
9736 Early Spring Way
Columbia, MD 21046-2054
Mailing address
6925 Oakland Mills Rd # 502
Columbia, MD 21045-4714
Phone (443) 840-7996
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 |
|---|---|---|---|
| 28067 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647216000000",
"number": "1881349306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6925 OAKLAND MILLS RD # 502",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210454714",
"telephone_number": "443-840-7996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9736 EARLY SPRING WAY",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210462054",
"telephone_number": "703-398-5270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAZIL",
"first_name": "MAVLYN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-14",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "MD",
"license": "28067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.