Active NPI
Judith Brazen
- Social Worker
- Bethesda, MD
National Provider Identifier
1477336956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 29987
- Practice address
- 6608 Kenhill Rd
Bethesda, MD 20817-6014 - Phone
- (240) 893-4984
- NPI assigned
- Aug 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 29987 | MD | Primary |
Addresses
Primary practice location
6608 Kenhill Rd
Bethesda, MD 20817-6014
Mailing address
6608 Kenhill Rd
Bethesda, MD 20817-6014
Phone (240) 893-4984
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 17, 2023 through Aug 17, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1477336956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6608 KENHILL RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208176014",
"telephone_number": "240-893-4984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6608 KENHILL RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208176014",
"telephone_number": "240-893-4984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAZEN",
"first_name": "JUDITH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-17",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "29987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.