Individual provider Active NPI

Jan Marie Brewer, LCSW-C

  • Clinical Social Worker
  • Conowingo, MD
National Provider Identifier
1265008445
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10710 Issued in MD
Practice address
49 Rock Springs Rd
Conowingo, MD 21918-1352
Phone
(410) 378-9696
Fax
(410) 378-9922
NPI assigned
May 28, 2021
Last updated
Jan 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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 10710 MD Primary

Addresses

Primary practice location

49 Rock Springs Rd
Conowingo, MD 21918-1352

Mailing address

PO Box 99
Conowingo, MD 21918-0099
Phone (410) 378-9696

Other practice location 1

253 Lewis Ln Ste 202
Havre DE Grace, MD 21078-3756
Phone (410) 378-9696

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbrewer@westcecilhealth.org Direct

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
I20220110000123 MD Practitioner - Clinical Social Worker 5294127908 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Cecil Health Center Inc. CurrentSince Jan 3, 2022 Accepting new patients
West Cecil Health Center Inc. Current Accepting new patients
West Cecil Health Center Inc. Current Accepting new patients
West Cecil Health Center Inc. CurrentSince Jan 3, 2022 Accepting new patients
Changing Tides Therapeutic & Consultative Services, LLC Clinical Past Accepting new patients

Locations

49 Rock Springs Rd
Conowingo, MD 21918
Phone (877) 622-8484

253 Lewis Ln
Ste 202
Havre de Grace, MD 21078
Phone (443) 502-7060

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6703/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DAHIAD

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, 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": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1265008445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "CONOWINGO",
            "state": "MD",
            "postal_code": "219180099",
            "telephone_number": "410-378-9696",
            "fax_number": "410-378-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 ROCK SPRINGS RD",
            "city": "CONOWINGO",
            "state": "MD",
            "postal_code": "219181352",
            "telephone_number": "410-378-9696",
            "fax_number": "410-378-9922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "253 Lewis Ln Ste 202",
            "address_purpose": "LOCATION",
            "city": "Havre DE Grace",
            "state": "MD",
            "postal_code": "210783756",
            "country_code": "US",
            "telephone_number": "410-378-9696",
            "fax_number": "410-378-9922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREWER",
        "first_name": "JAN",
        "middle_name": "MARIE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbrewer@westcecilhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "49 Rock Springs Rd",
            "city": "Conowingo",
            "state": "MD",
            "country_code": "US",
            "postal_code": "219181352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conowingo, MD

Sources for this page

Verify at the official NPI Registry.