Active NPI
Brendan George O'Grady, LCSW
- Social Worker
- Havre de Grace, MD
National Provider Identifier
1528625654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 23117
- Practice address
- 501 S Union Ave FL 2
Havre de Grace, MD 21078-3493 - Phone
- (443) 843-8099
- Fax
- (443) 843-8023
- NPI assigned
- May 23, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 23117 | MD | Primary |
Addresses
Primary practice location
501 S Union Ave FL 2
Havre de Grace, MD 21078-3493
Mailing address
1305 Ontario St
Havre de Grace, MD 21078-2527
Phone (443) 955-2673
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bogrady@pivotpointcounseling.com | Direct | |
| Direct Messaging Address | bogrady@phoenixrecovery.net | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23117 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614729600000",
"number": "1528625654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 ONTARIO ST",
"city": "HAVRE DE GRACE",
"state": "MD",
"postal_code": "210782527",
"telephone_number": "443-955-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S UNION AVE FL 2",
"city": "HAVRE DE GRACE",
"state": "MD",
"postal_code": "210783493",
"telephone_number": "443-843-8099",
"fax_number": "443-843-8023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'GRADY",
"first_name": "BRENDAN",
"middle_name": "GEORGE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-23",
"last_updated": "2021-03-03",
"certification_date": "2021-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "23117",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bogrady@pivotpointcounseling.com",
"affiliation": "N",
"endpointDescription": "Pivot Point Counseling",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "754 N Hickory Ave # D",
"city": "Bel Air",
"state": "MD",
"country_code": "US",
"postal_code": "210143042",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bogrady@phoenixrecovery.net",
"affiliation": "N",
"endpointDescription": "Phoenix Recovery Center",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "107 Edgewood Rd",
"city": "Edgewood",
"state": "MD",
"country_code": "US",
"postal_code": "210403304",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Havre de Grace, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.