MR. BERTRAM LUDLOW III (NPI# 1164657979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164657979 |
| Entity Type | Individual |
| Full Name | MR. BERTRAM LUDLOW III |
| Credential | LCSW |
| Practice Address |
Psc 476 Box 62 Fpo AP 96322 |
| Practice Telephone | 01181956503122 |
| Practice Fax Number | 01181956503653 |
| Mailing Telephone | 0118195650 |
| Mailing Fax Number | 01181956503653 |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2009-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
25674 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TAXONOMY CODE | 104100000X | 01 |
| Street Address |
PSC 476 BOX 62 |
| City | FPO |
| State | AP |
| Zip Code | 96322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194701524 | Bradley John Smith | Dentist | Psc 476, Box1159, Fpo, AP 96322 | 2005-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508935651 | Naval Hospital Yokosuka | Military/U.S. Coast Guard Pharmacy | Bldg 5129, Command Fleet Activities Sasebo Jap, Fpo, AP 96322 | 2006-11-06 |
| 1962479253 | Michael L. Bowe-rahming | Military Health Care Provider | Psc 476 Box 779, Fpo, AP 96322 | 2006-03-05 |
| 1861478877 | Cynthia D. Saclolo | Registered Nurse | Psc 476 Box 25, Nbhc Sasebo Japan, Fpo Ap, CA 96322 | 2005-12-21 |
| 1336125756 | Ralph Daniel Byrd | Pharmacist | Psc 476 Box 361, Fpo, AP 96322 | 2005-12-17 |
| 1477537504 | Randy G. Reese | Psychologist | Nbhc Sasebo, Psc 476 Box 25, Fpo, AP 96322 | 2005-12-01 |
| 1376734624 | Branch Medical Clinic Sasebo Comfleact | Clinic/Center | Psc 476 Box 25, Fpo, AP 96322 | 2007-08-01 |
| 1700801776 | Jonathan Hayden Locke | Psychologist | Psc 476 Box 25, Fpo, CA 96322 | 2006-07-12 |
| 1518947308 | Geoffrey Samuel Jacoby | Family Medicine | Nbhc Sasebo, Psc 476 Box 25, Fpo, AP 96322 | 2006-01-19 |
| 1609852581 | Florence Cameron | Speech-Language Pathologist | Psc 476 Box 25, Fpo, AP 96322 | 2005-12-21 |
| 1730406281 | Saic | Military Hospital | Psc 476 Box 62, Fpo, AP 96322-0001 | 2010-04-23 |
| Find all providers in zip 96322 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899853 | London Mingo | Social Worker | 2769 Yaka Kin Cho, Fpo, AP 96388-0071 | 2020-10-21 |
| 1003384876 | Alicia Frisbee | Social Worker | Psc 561 Box 7481, Fpo, AP 96310-0075 | 2018-11-09 |
| 1588112718 | Patrick Baker | Social Worker | Iii Marine Expedition Force, Unit 35605, Fpo, AP 96382-5605 | 2016-09-16 |
| 1437520442 | Deborah Wells | Social Worker | Psc 557 Box 1981, Fpo, AP 96379-0020 | 2015-10-16 |
| 1356719157 | Eric Henderson | Social Worker | Navy Branch Health Clinic, Psc 851 Box 340, Fpo, AE 09834-0004 | 2015-09-10 |
| 1871911560 | Diana Leighow | Social Worker | Unit 35605, Fpo, AP 96382-5605 | 2014-03-31 |
| 1417372905 | Makiko Clark | Social Worker | Psc 475 Box 1645, Fpo, AP 96350-1645 | 2014-02-20 |
| 1497170039 | Chelsea Ruth Larro | Social Worker | Psc 482 Box 2461, Fpo, AP 96362-2499 | 2014-02-18 |
| 1538591847 | Griselda Elizabeth Flores | Social Worker | Psc 475 Box 1425, Fpo, AP 96350-1425 | 2013-08-08 |
| 1023369675 | Mary Angela Macculloch | Social Worker | Psc 473, Box 116, Fpo, AP 96349-9998 | 2012-09-23 |
| Find all providers in FPO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.