Active NPI
Alena Jeneale Broughton, LCSW-C
- Clinical Social Worker
- Waldorf, MD
National Provider Identifier
1457076218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 3050 Crain Hwy
Waldorf, MD 20601-2824 - Phone
- (240) 585-5142
- NPI assigned
- Oct 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
3050 Crain Hwy
Waldorf, MD 20601-2824
Mailing address
2422 Saint Clair Dr
Temple Hills, MD 20748-3238
Phone (240) 328-3060
Other practice location 1
8181 Professional Pl Ste 200
Hyattsville, MD 20785-7219
Phone (301) 306-4590
Other names 1
- Alena Jeneale Russell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interdynamics, Inc. | Past | Accepting new patients | |
| Interdynamics, Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Landover, MD
- NPI 1770135261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760054400000",
"number": "1457076218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2422 SAINT CLAIR DR",
"city": "TEMPLE HILLS",
"state": "MD",
"postal_code": "207483238",
"telephone_number": "240-328-3060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 CRAIN HWY",
"city": "WALDORF",
"state": "MD",
"postal_code": "206012824",
"telephone_number": "240-585-5142"
}
],
"practiceLocations": [
{
"address_1": "8181 Professional Pl Ste 200",
"address_purpose": "LOCATION",
"city": "Hyattsville",
"state": "MD",
"postal_code": "207857219",
"country_code": "US",
"telephone_number": "301-306-4590",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROUGHTON",
"first_name": "ALENA",
"middle_name": "JENEALE",
"name_prefix": "Mrs.",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-05",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALENA",
"last_name": "RUSSELL",
"middle_name": "JENEALE",
"credential": "LMSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.