Nicolle Beatrice Birckhead, LCSW-C
Social Worker, Clinical in Parkton, MD. Individual provider (NPI-1).
NPI number1629952916
StatusActive
Last updated in NPPESAug 1, 2025
Details
- NPI
- 1629952916
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Nicolle Beatrice Birckhead
- Credential
- LCSW-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 1, 2025
- Certification date
- Aug 1, 2025
- Last updated
- Aug 1, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 22557 | MD | Yes |
| 104100000X | Social Worker | 22557 | MD |
Practice location
Po Box 484Parkton, MD 21120-0484
Phone 443-520-2727
Mailing address
Po Box 484Parkton, MD 21120-0484
Phone 443-520-2727
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinical Social Worker providers in Parkton, MD
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