Active NPI
Brittany Evelyn Nair
- Clinical Social Worker
- Baltimore, MD
National Provider Identifier
1619986486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- D0035786
- Practice address
- 630 W Fayette St
Baltimore, MD 21201-1543 - Phone
- (410) 328-2207
- Fax
- (410) 328-9233
- NPI assigned
- Aug 7, 2006
- 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 | D0035786 | MD | Primary |
Addresses
Primary practice location
630 W Fayette St
Baltimore, MD 21201-1543
Mailing address
PO Box 64277
Baltimore, MD 21264-4277
Phone (410) 328-7037
Other names 1
- Brittany Evelyn Thompson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2057 Pulaski Hwy
North East, MD 21901-3744
Phone (443) 877-4044
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0035786 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jesse Fairchild LLC | Clinical | Current | Accepting new patients |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
Locations
2057 Pulaski Hwy
Ste 4
North East, MD 21901
Phone (443) 877-4044
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619986486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64277",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644277",
"telephone_number": "410-328-7037",
"fax_number": "410-328-3311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 W FAYETTE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011543",
"telephone_number": "410-328-2207",
"fax_number": "410-328-9233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIR",
"first_name": "BRITTANY",
"middle_name": "EVELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "D0035786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRITTANY",
"last_name": "THOMPSON",
"middle_name": "EVELYN",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.