Miriam F. Godfrey LCSW-C - Clinical Social Worker in Baltimore, Maryland | ProviderWire

Full Name

Miriam Flavia Godfrey LCSW-C

NPI Number

1164967063

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/31/2016

Specialties

(Taxonomies)

Name

Clinical Social Worker

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Maryland

Pennsylvania

License Number

20235

CW022982

Contact
Information

Purpose

Mailing

Location

Address

2110 LAKE AVE

600 WYNDHURST AVE STE 205

City

Baltimore

Baltimore

State

MD

MD

Postal Code

21218-3128

21210-2448

Country

US

US

Telephone Number

(301) 412-9740

(301) 412-9740

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/18/2024

Provider Address

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