Individual provider Active NPI

Barbara Leslie Brodie, LCSW-C

  • Clinical Social Worker
  • Timonium, MD
National Provider Identifier
1053564971
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09861 Issued in MD
Practice address
1301 York Rd
Suite 400
Timonium, MD 21093-6035
Phone
(410) 494-4495
Fax
(410) 494-4496
NPI assigned
Oct 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 09861 MD
Clinical Social Worker 1041C0700X 09861 MD Primary

Addresses

Primary practice location

1301 York Rd
Suite 400
Timonium, MD 21093-6035

Mailing address

1301 York Rd
Suite 400
Timonium, MD 21093-6035
Phone (410) 494-4495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
09861MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Support Plus, LLC Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1053564971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 YORK RD",
            "address_2": "SUITE 400",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210936035",
            "telephone_number": "410-494-4495",
            "fax_number": "410-494-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 YORK RD",
            "address_2": "SUITE 400",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210936035",
            "telephone_number": "410-494-4495",
            "fax_number": "410-494-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODIE",
        "first_name": "BARBARA",
        "middle_name": "LESLIE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "09861",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.