Brungard Counseling Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11218 Issued in MD

Legal business name

BRUNGARD COUNSELING SERVICES

Practice address

489 Main St
Suite 102
Prince Frederick, MD 20678-3187

Phone

(443) 968-9266

Fax

(410) 414-5911

NPI assigned

Jan 5, 2016

Organization subpart

No

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

Authorized official

Name

Robin Brungard

Title

Owner

Phone

(443) 968-9266

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1376909572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1631",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206781631",
            "telephone_number": "443-968-9266",
            "fax_number": "410-414-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 MAIN ST",
            "address_2": "SUITE 102",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783187",
            "telephone_number": "443-968-9266",
            "fax_number": "410-414-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNGARD COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "BRUNGARD",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-968-9266"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402796500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anika Marcia Brown, LGPC
• Steven Glen Brown, BA, CAC-AD
• Ciaran Therese Browne, MD
• Caroline Bruce, DPT
• Brian Joseph Brune, M.D.
• Robin Carol Brungard, LCSW-C
• Barbara Jarboe Brunner, AUD, CCC-A
• Claudia J Bryant, LCADC, LCPC
• Lindsey Bryant
• Jessica Buchanan, RMA

• Clinical Social Worker in Prince Frederick, MD
• Providers in Prince Frederick, 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 Feb 27, 2017; 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.