Elizabeth Brolund, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18452 Issued in MD

Practice address

949 Gorsuch Ave
Baltimore, MD 21218

Phone

(410) 467-4121

Fax

(410) 467-6709

NPI assigned

Mar 22, 2016

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

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marian House IncGroup PAC ID 6901297308, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: elizabeth.brolund.p1@direct.bmsi.nextgenshare.com

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.

• Marian House, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baltimore, MD
  • NPI 1124304266
  Medicare reassignment Care Compare group NPD
• Marian House, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Baltimore, MD
  • NPI 1548047566
  NPD (past)
• Marian House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
  • NPI 1801573936
  NPD (past)

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1295197176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 GORSUCH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21218",
            "telephone_number": "410-467-4121",
            "fax_number": "410-467-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 GORSUCH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21218",
            "telephone_number": "410-467-4121",
            "fax_number": "410-467-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROLUND",
        "first_name": "ELIZABETH",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105779100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Michelle Brogno, LCSW-C
• Rebekah Broh-Kahn
• Jason P Brokaw, MD
• Ann Marie Brokmeier, LCPC
• Carole B Brokos, CRNP
• Jonathan Bromberg, MD
• Yehuda Bromberg, LMSW
• Sandra L. Bromble, LCPC
• Benjamin Todd Bromley-Coolidge
• Claire Eileen Bromwell

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.