Active NPI
Jan Marie Brewer, LCSW-C
- Clinical Social Worker
- Conowingo, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10710
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | 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. | Current | Accepting new patients | |
| West Cecil Health Center Inc. | Current | 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
- https://api.platform.athenahealth.com/6703/brand/1/csg/1/fhir/r4
- 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.
-
- Federally Qualified Health Center (FQHC)
- Conowingo, MD
- NPI 1366625089
-
- Federally Qualified Health Center (FQHC)
- Elkton, MD
- NPI 1083409536
-
dba Beacon Health Center
- Federally Qualified Health Center (FQHC)
- Havre de Grace, MD
- NPI 1437697273
-
- Federally Qualified Health Center (FQHC)
- Cecilton, MD
- NPI 1598251753
-
- Clinical Social Worker
- Elkton, MD
- NPI 1609518869
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.