BRUNGARD COUNSELING SERVICES (NPI# 1376909572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376909572 |
| Entity Type | Organization |
| Organization Name | BRUNGARD COUNSELING SERVICES |
| Practice Address |
489 Main St Suite 102 Prince Frederick MD 20678-3187 |
| Mailing Address |
Po Box 1631 Prince Frederick MD 20678-1631 |
| Practice Telephone | 4439689266 |
| Practice Fax Number | 4104145911 |
| Mailing Telephone | 4439689266 |
| Mailing Fax Number | 4104145911 |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2017-02-27 |
| Authorized Official Name | ROBIN BRUNGARD (OWNER) |
| Authorized Official Telephone | 4439689266 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
11218 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 402796500 | 05 |
| Street Address |
489 MAIN ST SUITE 102 |
| City | PRINCE FREDERICK |
| State | MD |
| Zip Code | 20678-3187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962403337 | Robin Carol Brungard | Social Worker | 489 Main St, Suite 102, Prince Frederick, MD 20678-3187 | 2005-08-09 |
| 1538792692 | Xiaojing Huang | Counselor | 489 Main St, Prince Frederick, MD 20678-3187 | 2020-02-18 |
| 1891331153 | Kia Randall | Counselor | 489 Main St, Prince Frederick, MD 20678-3187 | 2019-11-21 |
| 1497108120 | Center for Children Inc. | Home Health | 489 Main St, Prince Frederick, MD 20678-3187 | 2016-07-18 |
| 1043663172 | Juliana Cox | Social Worker | 489 Main St, Prince Frederick, MD 20678-3187 | 2016-07-13 |
| 1285092007 | Elaine Kyle | Counselor | 489 Main St, Suite 202, Prince Frederick, MD 20678-3187 | 2016-02-08 |
| 1144696402 | Jennifer Bevard | Psychologist | 489 Main St, Prince Frederick, MD 20678-3187 | 2015-08-20 |
| 1497132781 | Katelynn Pearson | Social Worker | 489 Main St, Prince Frederick, MD 20678-3187 | 2015-05-06 |
| 1104218767 | Center for Children Inc. | Community/Behavioral Health | 489 Main St, Suite 202, Prince Frederick, MD 20678-3187 | 2015-02-19 |
| 1134527575 | Center for Children, Inc. | Case Management | 489 Main St, Suite 202, Prince Frederick, MD 20678-3187 | 2014-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857500 | Watershed Counseling Service | Counselor | 246 Merrimac Court, Prince Frederick, MD 20678 | 2015-12-23 |
| 1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
| 1891126827 | Jacqueline Leclercq | Nurse Practitioner | 110 Hospital Road Suite 303, Prince Frederick, MD 20678 | 2013-12-02 |
| 1174959001 | Linsey Rowe Heane | Physical Therapist | 110 Main Street Suite 1, Prince Frederick, MD 20678 | 2013-09-24 |
| 1053607002 | Tidewater Dental Pf | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678 | 2011-06-28 |
| 1033411558 | Sharon Patricia Parran | Pharmacist | 80 W.dares Beach Road, Prince Frederick, MD 20678 | 2010-12-04 |
| 1366684326 | Prince Frederick Surgery Center LLC | Clinic/Center | 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 | 2009-04-06 |
| 1982844734 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 220 Old Solomans Island Rd, Prince Frederick, MD 20678 | 2009-03-05 |
| 1225273519 | Rebecca Lynn Jahed | Audiologist | 3180 Blackberry Lane, Prince Frederick, MD 20678 | 2008-12-16 |
| 1669639209 | Ralph Walter Niemann | Dentist | 272 Merrimac Court, Prince Frederick, MD 20678 | 2008-05-21 |
| Find all providers in zip 20678 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790349132 | Stacey Virginia Newman | Social Worker | 2010 Henry Hutchins Rd, Prince Frederick, MD 20678-5772 | 2019-04-30 |
| 1588112221 | Project Chesapeake LLC | Social Worker | 69 Sherry Ln Ste 2, Prince Frederick, MD 20678-3231 | 2016-09-12 |
| 1720487119 | Chelsea Mclaughlin | Social Worker | 489 Main St Ste 202, Prince Frederick, MD 20678-3188 | 2014-08-21 |
| 1245513621 | Audra A Howard | Social Worker | 65 Duke St Ste 111&113, Prince Frederick, MD 20678-6128 | 2011-09-22 |
| 1124338686 | Sharman Warrick | Social Worker | 65 Duke St # 661, Suite 207, Prince Frederick, MD 20678-6128 | 2010-10-19 |
| 1235283862 | Holly Rogers Briscoe | Social Worker | 65 Duke Street, Suite 206, Prince Frederick, MD 20678 | 2007-01-22 |
| 1164529053 | Amanda Lynn Schiavoni | Social Worker | 301 Steeple Chase Drive, Suite 104, Prince Frederick, MD 20678 | 2006-09-20 |
| 1366545774 | C Yvonne Micheli | Social Worker | 65 Duke St, Kaine Bldg Suite 111, Prince Frederick, MD 20678-6128 | 2006-09-07 |
| 1962403337 | Robin Carol Brungard | Social Worker | 489 Main St, Suite 102, Prince Frederick, MD 20678-3187 | 2005-08-09 |
| 1164916441 | Amanda Kurtz | Social Worker | 975 Solomons Island Rd N, Prince Frederick, MD 20678-3917 | 2018-06-19 |
| Find all providers in PRINCE FREDERICK | ||||
| City | PRINCE FREDERICK |
| Zip Code | 20678 |
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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.