Individual provider Active NPI

Brandy Lynn Brandenburg, LCSW-C

  • Clinical Social Worker
  • Frederick, MD
National Provider Identifier
1124792056
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26603 Issued in MD
Practice address
5305 Jefferson Pike Ste C7
Frederick, MD 21703-6982
Phone
(240) 656-0201
NPI assigned
Aug 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 26603 MD Primary

Addresses

Primary practice location

5305 Jefferson Pike Ste C7
Frederick, MD 21703-6982

Mailing address

5305 Jefferson Pike Ste C7
Frederick, MD 21703-6982
Phone (240) 656-0201

Other identifiers 1

IdentifierTypeStateIssuer
B653-098-564-744OtherMDNONE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address brandy@anchoredhopellc.org Direct
Direct Messaging Address brandy@anchoredhopellc.org Direct

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
26603MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1124792056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 JEFFERSON PIKE STE C7",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217036982",
            "telephone_number": "240-656-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 JEFFERSON PIKE STE C7",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217036982",
            "telephone_number": "240-656-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDENBURG",
        "first_name": "BRANDY",
        "middle_name": "LYNN",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "26603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "B653-098-564-744",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brandy@anchoredhopellc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "5802 Hannover Ter",
            "city": "Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217031839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brandy@anchoredhopellc.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "therapy",
            "address_1": "5802 Hannover Ter",
            "city": "Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217031839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.