BROOKE BRODY LICENSED CLINICAL SOCIAL WORKER, PC


Address: 15720 Seneca Rd, Germantown, MD 20874-3542
Phone: 2409944926

BROOKE BRODY LICENSED CLINICAL SOCIAL WORKER, PC (NPI# 1649882606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649882606
Entity Type Organization
Organization Name BROOKE BRODY LICENSED CLINICAL SOCIAL WORKER, PC
Practice Address 15720 Seneca Rd
Germantown
MD 20874-3542
Practice Telephone 2409944926
Practice Fax Number 2405036790
Mailing Telephone 2409944926
Mailing Fax Number 2405036790
Enumeration Date 2020-08-20
Last Update Date 2020-08-20
Authorized Official Name MR. BROOKE H BRODY (OWNER)
Authorized Official Telephone 2409944926
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
PACIFIC PATHWAYS Doing Business As Name - Organization

Office Location

Street Address 15720 SENECA RD
City GERMANTOWN
State MD
Zip Code 20874-3542

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033768973 Lauren Grace Dovin Speech-Language Pathologist 18501 Cinnamon Dr. Germantown, Germantown, MD 20874 2019-09-04
1578119376 Kevin Crippen Speech-Language Pathologist Seneca Valley High School, 19401 Crystal Rock Drive, Germantown, MD 20874 2019-08-16
1245700830 Heather Macvean Behavioral Analyst 18100 Chalet Dr Apt 301, Germantown, MD 20874 2018-11-27
1811414014 Wanai Sen Kum Pharmacist 12825 Westeria Drive, Germantown, MD 20874 2017-08-28
1417409160 Bornfree Wellness Centers of America Substance Abuse Rehabilitation Facility 19537 Doctor's Drive, Germantown, MD 20874 2016-10-28
1396119210 Darling St Louis Social Worker 18936 Port Haven Pl, Germantown, MD 20874 2015-11-16
1003289067 Olayiwola O Oloko Home Health Aide 19300 Circle Gate Dr #201, Germantown, MD 20874 2015-11-12
1831562446 Joanne Croos Physical Therapist 13905 Briarwick St, Germantown, MD 20874 2015-11-04
1255717070 Caring Health Services Inc Case Management 12312 Quail Woods Dr, Germantown, MD 20874 2015-08-04
1184007817 Mobile Medical Care, Inc. Clinic/Center 981 Rollins Ave., Rockville, MD 20874 2015-06-30
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972975506 Cornerstone Montgomery, Inc. Community Based Residential Treatment Facility, Mental Illness 13436 Fountain Club Dr, Germantown, MD 20874-2176 2015-10-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356942361 Psychotherapeutic Treatment Services, Inc. Community Based Residential Treatment Facility, Mental Illness 1300 Ritchie Hwy Ste D-e, Arnold, MD 21012-2244 2020-11-05
1568073815 Peaceful Minds Residential Services Community Based Residential Treatment Facility, Mental Illness 2733 Ashland Ave, Baltimore, MD 21205-1734 2020-08-11
1821636226 Mission House Inc Community Based Residential Treatment Facility, Mental Illness 204 Brown St, Chestertown, MD 21620-1402 2019-12-16
1548807423 Southern Maryland Community Network, Inc Community Based Residential Treatment Facility, Mental Illness 2670 Crain Hwy Ste 505, Waldorf, MD 20601-2819 2019-12-10
1477190353 Southern Maryland Community Network, Inc Community Based Residential Treatment Facility, Mental Illness 41900 Fenwick St Ste 5, Leonardtown, MD 20650-3815 2019-12-10
1407404429 Ministering Angels LLC Community Based Residential Treatment Facility, Mental Illness 4605 Horizon Cir Apt 101, Pikesville, MD 21208-2395 2019-09-03
1891257598 Ijomah and Associates Inc Community Based Residential Treatment Facility, Mental Illness 8640 Ridge Rd, Ellicott City, MD 21043-4102 2019-04-02
1851853568 Ijomah and Associates Inc Community Based Residential Treatment Facility, Mental Illness 1431 W Patrick St, Frederick, MD 21702-9061 2019-04-02
1649744327 Monte Nido Maryland, LLC Community Based Residential Treatment Facility, Mental Illness 3100 Roxbury Mills Rd, Glenwood, MD 21738-9702 2019-01-16
1134692320 Passionate Hands Transitional Housing Community Based Residential Treatment Facility, Mental Illness 3507 W Rogers Ave, Baltimore, MD 21215-4742 2019-01-10
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Competitor

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City GERMANTOWN
Zip Code 20874

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Dataset Information

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.

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