Individual provider Active NPI

Adrienne Burrell, LMSW

  • Clinical Social Worker
  • Pasadena, MD
National Provider Identifier
1073206835
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24988 Issued in MD
Practice address
2528 Mountain Rd Ste 102-204
Pasadena, MD 21122-7203
Phone
(443) 548-3733
Fax
(410) 360-1675
NPI assigned
May 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 24988 MD Primary

Addresses

Primary practice location

2528 Mountain Rd Ste 102-204
Pasadena, MD 21122-7203

Mailing address

2528 Mountain Rd Ste 204
Pasadena, MD 21122-7204
Phone (443) 548-3733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250528000145 MD Practitioner - Clinical Social Worker 4183143779 Reassigns benefits to 1 organization
I20260224004283 DC Practitioner - Clinical Social Worker 4183143779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians

Practice addresses (Care Compare)

8200 Good Luck Rd
Lanham, MD 20706-3511
Phone (301) 623-4350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC CurrentSince Mar 1, 2026 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Mar 1, 2026 Accepting new patients
Evolve Life Centers Iop LLC CurrentSince Feb 24, 2025 Accepting new patients
Evolve Life Centers Iop LLC PastSince Jun 4, 2023 Accepting new patients

Locations

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

8200 Good Luck Rd
Lanham, MD 20706
Phone (301) 552-2000

2528 Mountain Rd
Ste 102204
Pasadena, MD 21122
Phone (443) 548-3733

2528 Mountain Rd
Ste 204
Pasadena, MD 21122
Phone (410) 255-4475

2528 Mountain Rd
Ste 104
Pasadena, MD 21122
Phone (443) 548-3733

Organizations & group practices 5

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": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1073206835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 MOUNTAIN RD STE 204",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211227204",
            "telephone_number": "443-548-3733",
            "fax_number": "410-360-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 MOUNTAIN RD STE 102-204",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211227203",
            "telephone_number": "443-548-3733",
            "fax_number": "410-360-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRELL",
        "first_name": "ADRIENNE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "24988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

Verify at the official NPI Registry.