Ellen Elizabeth Brandenburg, LCSW-C
Individual provider Active NPI Clinical Social Worker · Timonium, MD
NPI 1023734308 · NPPES record last updated Oct 18, 2022
Key facts
- NPI
- 1023734308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 24300 (MD)
- Practice address
- 2324 W Joppa Road
Timonium, MD 21093 - Phone
- (301) 718-4544
- NPI assigned
- Oct 18, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24300 | MD | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 24300 | MD | Yes |
Addresses
Primary practice location
2324 W Joppa Road
Timonium, MD 21093
Mailing address
7990 Old Georgetown Rd
Suites 9B, 10B and 10a
Bethesda, MD 20814-2551
Phone (301) 718-4544
Other providers in Timonium, MD
- Michael Underwood Brady
- Tammy Brady
- Michele Braerman
- Erika Jordan Brager
- Julia F Brand
- Brian W. Muhler, D.D.S, P.a.
- Barbara Leslie Brodie
- Jasmine D Bronson
- Gabrielle Brooks
- Katrina Charlene Broughton
All providers in Timonium, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.