Keyandra Brisco, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14023 Issued in MD

Practice address

7000 Security Blvd
Suite 302
Baltimore, MD 21244-2561

Phone

(410) 281-1334

Fax

(410) 298-4326

NPI assigned

Dec 7, 2011

Last updated

Dec 20, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1376811109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4623 FALLS RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094914",
            "telephone_number": "410-366-1980",
            "fax_number": "410-366-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SECURITY BLVD",
            "address_2": "SUITE 302",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442561",
            "telephone_number": "410-281-1334",
            "fax_number": "410-298-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISCO",
        "first_name": "KEYANDRA",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherilyn Brinkley, C.R.N.P.
• Heather Brinkmeier
• Michele L. Brinson, LCPC
• Brinton Woods of Frankford, LLC (Frankford Nursing & Rehabilitation Center)
• Amanda Marie Briody, M.AC., L.AC.
• Brittany Briscoe
• Jazmine Briscoe
• Nikalette V Briscoe
• Tajai Briscoe
• Mary Jo Brisebois, RN

• 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 Dec 20, 2013; 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.