Individual provider Active NPI

Brittany Evelyn Nair

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1619986486
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
D0035786 Issued in MD
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

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070116000527 MD Practitioner - Clinical Social Worker 7719988856 Reassigns benefits to 1 organization
I20251111000488 DC Practitioner - Clinical Social Worker 7719988856 Reassigns benefits to 1 organization

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
Jesse Fairchild LLCGroup PAC ID 7719204460, 5 clinicians

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

LicenseStateTypeSpecialty
D0035786MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jesse Fairchild LLC Clinical CurrentSince Sep 13, 2018 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Oct 8, 2025 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

Verify at the official NPI Registry.