| Miriam F. Godfrey, Lcsw-c, Llc | |
|
600 Wyndhurst Ave Ste 205 Baltimore MD 21210-2448 | |
| (301) 412-9740 | |
| Not Available |
| Full Name | Miriam F. Godfrey, Lcsw-c, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 600 Wyndhurst Ave Ste 205, Baltimore, Maryland |
| Authorized Official Name and Position | Miriam Flavia Godfrey (OWNER) |
| Authorized Official Contact | 3014129740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miriam F. Godfrey, Lcsw-c, Llc 2110 Lake Ave Baltimore MD 21218-3128 Ph: (301) 412-9740 | Miriam F. Godfrey, Lcsw-c, Llc 600 Wyndhurst Ave Ste 205 Baltimore MD 21210-2448 Ph: (301) 412-9740 |
| NPI Number | 1841793882 |
|---|---|
| Provider Enumeration Date | 03/15/2018 |
| Last Update Date | 01/18/2024 |
| Certification Date | 03/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841793882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 20235 (Maryland) | Primary |
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