Brit Suzanne Elizalde-Kern
Individual provider Active NPI Social Worker · New Market, MD
NPI 1417637265 · NPPES record last updated May 30, 2024
Key facts
- NPI
- 1417637265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 31494 (MD)
- Practice address
- 4 W Main St
New Market, MD 21774-6290 - Phone
- (301) 381-4586
- NPI assigned
- Jul 18, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31494 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Valley Therapy, L.L.C. | Social Worker | Past |
Accepting new patients |
| Crossroads Centers of Frederick | Past |
Accepting new patients | |
| Crossroads Center of Frederick LLC | Addiction (Substance Use Disorder) | Past |
Accepting new patients |
| Green Valley Therapy, L.L.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Social Worker | 104100000X | 31494 | MD | Yes |
Addresses
Primary practice location
4 W Main St
New Market, MD 21774-6290
Mailing address
4 W Main St
New Market, MD 21774-6290
Phone (301) 381-4586
Other providers in New Market, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.