Individual provider Active NPI

Alex Brodt, LCSW-C

  • Clinical Social Worker
  • Potomac, MD
National Provider Identifier
1235799859
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20325 Issued in MD
Practice address
9544 Newbridge Dr
Potomac, MD 20854-4480
Phone
(301) 664-2880
Fax
(703) 660-4858
NPI assigned
Jun 17, 2019
Last updated
Feb 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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 20325 MD Primary

Addresses

Primary practice location

9544 Newbridge Dr
Potomac, MD 20854-4480

Mailing address

10538 E Wind Way
Columbia, MD 21044-5606
Phone (443) 718-0399

Other names 1

  • Mr. Alexander Lewis Brodt Other name

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
I20191023000014 MD Practitioner - Clinical Social Worker 8325370448 Reassigns benefits to 1 organization
I20250211001444 DC Practitioner - Clinical Social Worker 8325370448

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinetic Medical GroupGroup PAC ID 5294141909, 10 clinicians

Practice addresses (Care Compare)

144 Washington Rd
Edgewater, MD 21037-1412
Phone (703) 485-5689

9544 Newbridge Dr
Potomac, MD 20854-4480
Phone (951) 760-1797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20325MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetic Medical Group CurrentSince Dec 5, 2024 Accepting new patients

Locations

144 Washington Rd
Edgewater, MD 21037
Phone (410) 956-5000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1235799859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10538 E WIND WAY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210445606",
            "telephone_number": "443-718-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9544 NEWBRIDGE DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208544480",
            "telephone_number": "301-664-2880",
            "fax_number": "703-660-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODT",
        "first_name": "ALEX",
        "name_prefix": "Mr.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-17",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDER",
            "last_name": "BRODT",
            "middle_name": "LEWIS",
            "prefix": "MR.",
            "credential": "LCSW-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Potomac, MD

Sources for this page

Verify at the official NPI Registry.