Colette Brunell LCSW-C,BCD,LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

05994 Issued in MD

Legal business name

COLETTE BRUNELL LCSW-C,BCD,LLC

Practice address

5550 Sterrett PL
Suite 314
Columbia, MD 21044-2611

Phone

(410) 730-6119

Fax

(410) 290-6550

NPI assigned

Feb 19, 2015

Organization subpart

No

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

Authorized official

Name

Colette Brunell, LCSW-C,BCDNPI 1154415636

Title

Owner

Phone

(410) 730-6119

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colette A Brunell, LCSW-C

  • Clinical Social Worker
  • Columbia, MD
  • NPI 1154415636
  Medicare reassignment NPD Authorized official
• Terrye Ann Marie Mowatt, M.D.

  • Psychiatry Physician
  • Columbia, MD
  • NPI 1619088507
  NPD (past)

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1124410709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 STERRETT PL",
            "address_2": "SUITE 314",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442611",
            "telephone_number": "410-730-6119",
            "fax_number": "410-290-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 STERRETT PL",
            "address_2": "SUITE 314",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442611",
            "telephone_number": "410-730-6119",
            "fax_number": "410-290-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLETTE BRUNELL LCSW-C,BCD,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "BRUNELL",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-730-6119",
        "authorized_official_credential": "LCSW-C,BCD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MD",
            "license": "05994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daijanae Coleman
• Diane Fay Coleman, PT
• Leshei Coleman
• Marsha Coleman, RN
• Samantha Joann Coleman
• Domenick Peter Coletti, DDS, MD
• Allahandra Coley
• Crystal Renee Coley
• Katia Coley, NP-C
• Collaborative Counseling TMS

• Case Management Agency in Columbia, MD
• Providers in Columbia, MD by specialty
• Case Management Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.