Hannah Michele Breckenridge

Primary specialty

Social WorkerTaxonomy code 104100000X

License

23953 Issued in MD

Practice address

1212 York Rd Ste A302
Lutherville, MD 21093

Phone

(443) 470-9815

NPI assigned

Nov 6, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ocd DC LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockville, MD
  • NPI 1730885104
  NPD Authorized official

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1275001455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 RUXTON RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046624",
            "telephone_number": "901-833-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 YORK RD STE A302",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "21093",
            "telephone_number": "443-470-9815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 N Howard St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212185909",
            "country_code": "US",
            "telephone_number": "443-438-6742",
            "fax_number": "443-773-5624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRECKENRIDGE",
        "first_name": "HANNAH",
        "middle_name": "MICHELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "23953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38-3876389",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Bradley Boughan, MD
• Joseph Blake Bourne III
• Kraig S Bower, M.D.
• Kellyanne Boylan, AU.D.
• Jordan Amber Bradford, OTD, OTR/L
• June Elizabeth Breiner, M.D.
• Brent C. Birely, M.D., P.a.
• Susan B Bressler, M.D.
• Carli Christine Brewer, PT, DPT
• Bridge & Bloom Counseling, LLC

• Social Worker in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.