Individual provider Active NPI

Brandon Hamilton Ganz, LCSW

  • Clinical Social Worker
  • Hagerstown, MD
National Provider Identifier
1245979442
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28557 Issued in MD
Practice address
686 Pennsylvania Ave
Hagerstown, MD 21740-3770
Phone
(240) 469-4360
NPI assigned
Jun 3, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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 28557 MD Primary

Addresses

Primary practice location

686 Pennsylvania Ave
Hagerstown, MD 21740-3770

Mailing address

38 Haines CT
Martinsburg, WV 25404-3670
Phone (240) 707-0450

Other practice location 1

18714 N Village
Hagerstown, MD 21742-2454
Phone (301) 733-0330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251121002847 MD Practitioner - Clinical Social Worker 9133611692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brook Lane Behavioral Services, Inc.Group PAC ID 5991055022, 23 clinicians

Practice addresses (Care Compare)

18714 N Village
Hagerstown, MD 21742-2454
Phone (301) 733-0330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28557MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brook Lane Behavioral Services, Inc. Clinical CurrentSince Nov 3, 2025 Accepting new patients
KTS Mental Health Group, Inc CurrentSince Jun 5, 2022 Accepting new patients

Locations

4540 Mack Ave
Ste B
Frederick, MD 21703
Phone (301) 698-5665

18714 North Village
Hagerstown, MD 21742
Phone (301) 733-0331

686 Pennsylvania Ave
Hagerstown, MD 21740
Phone (240) 469-4360

Organizations & group practices 2

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": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1245979442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 HAINES CT",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254043670",
            "telephone_number": "240-707-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 PENNSYLVANIA AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217403770",
            "telephone_number": "240-469-4360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18714 N Village",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217422454",
            "country_code": "US",
            "telephone_number": "301-733-0330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANZ",
        "first_name": "BRANDON",
        "middle_name": "HAMILTON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-03",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "28557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.