Individual provider Active NPI

Michele Kenealy Brinsfield, LCSW-C

  • Clinical Social Worker
  • Cumberland, MD
National Provider Identifier
1659029924
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25000 Issued in MD
Practice address
Upmc Western Maryland
12500 Willowbrook Road
Cumberland, MD 21502
Phone
(240) 964-8585
NPI assigned
Mar 15, 2022
Last updated
Mar 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MD
Clinical Social Worker 1041C0700X 25000 MD Primary

Addresses

Primary practice location

Upmc Western Maryland
12500 Willowbrook Road
Cumberland, MD 21502

Mailing address

Upmc Western Maryland
12500 Willowbrook Road
Cumberland, MD 21502
Phone (240) 964-8585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240423001129 MD Order and Referring Only - Clinical Social Worker 5395184485

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": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1659029924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UPMC WESTERN MARYLAND",
            "address_2": "12500 WILLOWBROOK ROAD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "21502",
            "telephone_number": "240-964-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UPMC WESTERN MARYLAND",
            "address_2": "12500 WILLOWBROOK ROAD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "21502",
            "telephone_number": "240-964-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINSFIELD",
        "first_name": "MICHELE",
        "middle_name": "KENEALY",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "25000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.