Active NPI
Alexa Bruck, LMSW
- Clinical Social Worker
- Baltimore, MD
National Provider Identifier
1609401819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 23768
- Practice address
- 911 W 36TH St
Baltimore, MD 21211-2445 - Phone
- (443) 990-1471
- NPI assigned
- Mar 9, 2020
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 23768 | MD | Primary |
Addresses
Primary practice location
911 W 36TH St
Baltimore, MD 21211-2445
Mailing address
3716 Ashley Way
Owings Mills, MD 21117-1442
Phone (410) 698-8332
Other practice location 1
7658 Belair Rd
Nottingham, MD 21236-4020
Phone (410) 800-2169
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://prism-wellness.com/ | Direct | |
| CONNECT URL | https://bpointwellness.com/index.html | 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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1609401819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3716 ASHLEY WAY",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211171442",
"telephone_number": "410-698-8332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 W 36TH ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212112445",
"telephone_number": "443-990-1471"
}
],
"practiceLocations": [
{
"address_1": "7658 Belair Rd",
"address_purpose": "LOCATION",
"city": "Nottingham",
"state": "MD",
"postal_code": "212364020",
"country_code": "US",
"telephone_number": "410-800-2169",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUCK",
"first_name": "ALEXA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-09",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "23768",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://prism-wellness.com/",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "911 W 36th St",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212112445",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://bpointwellness.com/index.html",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "7658 Belair Rd",
"city": "Nottingham",
"state": "MD",
"country_code": "US",
"postal_code": "212364020",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.