MIRIAM FLAVIA GODFREY (NPI# 1164967063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164967063 |
| Entity Type | Individual |
| Full Name | MIRIAM FLAVIA GODFREY |
| Credential | LCSW-C |
| Practice Address |
600 Wyndhurst Ave Suite 225 Baltimore MD 21210-2489 |
| Mailing Address |
2110 Lake Ave Baltimore MD 21218-3128 |
| Practice Telephone | 3014129740 |
| Mailing Telephone | 3014129740 |
| Enumeration Date | 2016-12-31 |
| Last Update Date | 2018-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
20235 | MD | Behavioral Health & Social Service Providers |
| Street Address |
600 WYNDHURST AVE SUITE 225 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21210-2489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124084363 | Sonia N Tyutyulkova | Psychiatry & Neurology | 600 Wyndhurst Ave, Ste 306b, Baltimore, MD 21210-2489 | 2006-04-25 |
| 1841793882 | Miriam F. Godfrey, Lcsw-c, LLC | Social Worker | 600 Wyndhurst Ave, Baltimore, MD 21210-2489 | 2018-03-15 |
| 1982147336 | Buchanan, Bird, & Nett, LLC | Psychologist | 600 Wyndhurst Ave, Suite 307 B, Baltimore, MD 21210-2489 | 2016-12-02 |
| 1629511654 | Abigail Patterson | Dietitian, Registered | 600 Wyndhurst Ave, Suite 245 G, Baltimore, MD 21210-2489 | 2016-11-22 |
| 1124487111 | Gladstone Psychiatry and Wellness | Psychiatry & Neurology | 600 Wyndhurst Ave, Suite 200a, Baltimore, MD 21210-2489 | 2016-02-18 |
| 1700260486 | Joanna Macht | Counselor | 600 Wyndhurst Ave, Suite 125, Baltimore, MD 21210-2489 | 2015-07-13 |
| 1366865941 | Kasey Serdar | Psychologist | 600 Wyndhurst Ave, Baltimore, MD 21210-2489 | 2014-02-02 |
| 1558783209 | Melanie Beers | Dietitian, Registered | 600 Wyndhurst Ave, Suite 245g, Baltimore, MD 21210-2489 | 2014-01-15 |
| 1780922583 | Michael A Torres Md | Psychiatry & Neurology | 600 Wyndhurst Ave, Suite 160, Baltimore, MD 21210-2489 | 2013-01-29 |
| 1730433988 | Beverly Betz | Social Worker | 600 Wyndhurst Ave, Suite 225, Baltimore, MD 21210-2489 | 2012-11-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758527 | Mechelle Suezette Norris | Physical Medicine & Rehabilitation | Loyola University Maryland Athletics, 4501 N Charles St., Baltimore, MD 21210 | 2020-04-07 |
| 1164086906 | Lee Ann Kingham | Psychologist | 4301 Roland Springs Drive, Baltimore, MD 21210 | 2019-04-26 |
| 1871070748 | Indigo Physiotherapy, LLC | Dietitian, Registered | 600 Wyndhurst Avenue, Suite 102, Baltimore, MD 21210 | 2018-07-24 |
| 1669994505 | Stephen J Condouris | Nurse Practitioner | 4544 Keswick Rd, Baltimore, MD 21210 | 2017-07-12 |
| 1477942555 | John Alan Singer | Surgery | 24 Roland Green, Baltimore, MD 21210 | 2015-01-13 |
| 1710306816 | David Schaffer | Specialist/Technologist | 4501 North Charles St., Loyola University, Baltimore, MD 21210 | 2014-04-16 |
| 1306121538 | Carrie Anne Runde | Naturopath | 4800 Roland Avenue, Suite 201, Baltimore, MD 21210 | 2011-10-19 |
| 1699057109 | Eugenia A Lombardi | Clinical Nurse Specialist | 4502a N Charles St., Baltimore, MD 21210 | 2011-09-12 |
| 1629394192 | Loch Raven Pharmacy Inc | Pharmacy | 200 West Cold Spring Lane, Baltimore, MD 21210 | 2010-04-09 |
| 1922249572 | Julie F. Sanz | Nurse Practitioner | 4502a N. Charles St., Shs, Baltimore, MD 21210 | 2009-03-11 |
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| 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] |
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| 1821698853 | Britney Buckson | Social Worker | 3710 Mary Ave, Baltimore, MD 21206-2416 | 2020-10-28 |
| 1467052746 | Allison Clayton | Social Worker | 1206 Union Ave, Baltimore, MD 21211-1901 | 2020-10-27 |
| 1134727506 | Maria Eleanor Nissley Ray | Social Worker | 906 Wilmington Ave, Baltimore, MD 21223-3224 | 2020-10-16 |
| 1144828161 | Melissa Vanderwolf Weldon | Social Worker | 3974 Edgehill Ave Apt C7, Baltimore, MD 21211-1721 | 2020-10-12 |
| 1467059691 | Artricia Cheri Love | Social Worker | 4010 W Belvedere Ave # 102, Baltimore, MD 21215-5502 | 2020-10-01 |
| 1710592183 | Stacy Tron | Social Worker | 2804 Laurelwood Ct, Baltimore, MD 21209-1414 | 2020-09-12 |
| 1326653742 | M S Brown Counseling Services LLC | Social Worker | 6801 Belair Rd Ste B, Baltimore, MD 21206-1121 | 2020-09-11 |
| 1700491438 | Chaey Skinner | Social Worker | 4312 Kolb Ave, Baltimore, MD 21206-2021 | 2020-09-10 |
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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.