Individual provider Active NPI

Brent Andrew Fischbein

  • Clinical Social Worker
  • Greenbelt, MD
National Provider Identifier
1083388540
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27243 Issued in MD
Practice address
7474 Greenway Center Dr Ste 700a
Greenbelt, MD 20770-3523
Phone
(301) 982-3437
NPI assigned
Aug 6, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Clinical Social Worker 1041C0700X 27243 MD Primary

Addresses

Primary practice location

7474 Greenway Center Dr Ste 700a
Greenbelt, MD 20770-3523

Mailing address

10019 Reisterstown Rd FL 3
Owings Mills, MD 21117-3902

Other practice location 1

1003 W 7th St Ste 200
Frederick, MD 21701-4106
Phone (301) 245-6300

Other practice location 2

3410 Olney Laytonsville Rd Ste 212
Olney, MD 20832-1734
Phone (301) 969-4060

Other practice location 3

15886 Gaither Dr Ste B
Gaithersburg, MD 20877-1404
Phone (844) 814-6862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20240312000008 DC Practitioner - Clinical Social Worker 8224474382 Reassigns benefits to 2 organizations
I20240516002690 MD Practitioner - Clinical Social Worker 8224474382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1003 W 7TH St
Suite 200
Frederick, MD 21701-4106
Phone (301) 245-6300

7474 Greenway Ctr Dr
Suite 700a
Greenbelt, MD 20770-3523
Phone (301) 982-3437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27243MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Behavioral Health Services PC CurrentSince Jul 1, 2024 Accepting new patients
Heuristic Therapeutic Services, LLC CurrentSince Dec 24, 2023 Accepting new patients
Heuristic Therapeutic Services, LLC CurrentSince Dec 24, 2023 Accepting new patients
Lifespan Behavioral Health Services PC PastSince Sep 1, 2023 Accepting new patients

Locations

1003 W 7th St
Ste 200
Frederick, MD 21701
Phone (240) 651-6824

19707 Executive Park Cir
Germantown, MD 20874
Phone (240) 550-9720

7474 Greenway Center Dr
Ste 700A
Greenbelt, MD 20770
Phone (301) 982-3437

101 E Chesapeake Ave
Ste 401
Towson, MD 21286
Phone (301) 982-3437

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": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1083388540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10019 REISTERSTOWN RD FL 3",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7474 GREENWAY CENTER DR STE 700A",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703523",
            "telephone_number": "301-982-3437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 W 7th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217014106",
            "country_code": "US",
            "telephone_number": "301-245-6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3410 Olney Laytonsville Rd Ste 212",
            "address_purpose": "LOCATION",
            "city": "Olney",
            "state": "MD",
            "postal_code": "208321734",
            "country_code": "US",
            "telephone_number": "301-969-4060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15886 Gaither Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208771404",
            "country_code": "US",
            "telephone_number": "844-814-6862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISCHBEIN",
        "first_name": "BRENT",
        "middle_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-06",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "27243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.