| Miriam M. Love, Lcsw-c, P.a. | |
|
7120 Minstrel Way Suite 203 Columbia MD 21045 | |
| (410) 404-3817 | |
| (410) 381-4711 |
| Full Name | Miriam M. Love, Lcsw-c, P.a. |
|---|---|
| Speciality | Social Worker |
| Location | 7120 Minstrel Way, Columbia, Maryland |
| Authorized Official Name and Position | Miriam M Love (PRESIDENT) |
| Authorized Official Contact | 4104043817 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miriam M. Love, Lcsw-c, P.a. 7120 Minstrel Way Suite 203 Columbia MD 21045 Ph: (410) 404-3817 | Miriam M. Love, Lcsw-c, P.a. 7120 Minstrel Way Suite 203 Columbia MD 21045 Ph: (410) 404-3817 |
| NPI Number | 1053493031 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5496757775 |
|---|---|
| Medicare Enrollment ID | O20070215000658 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053493031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 10061 (Maryland) | Primary |
| 1041C0700X | Social Worker - Clinical | 0904001503 (Virginia) | Secondary |
| Provider Name | Miriam M Love |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588770523 PECOS PAC ID: 5395747679 Enrollment ID: I20070410000130 |
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