Brooke Janet Beander, MSW, LICSW, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50079502 Issued in DC

Practice address

9701 Apollo Dr Ste 100
Largo, MD 20774-4785

Phone

(301) 412-4343

NPI assigned

Apr 27, 2020

Last updated

Jul 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Redeemed Innocence LLC

  • Mental Health Counselor
  • Largo, MD
  • NPI 1669093027

  Single Specialty

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1689295040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12138 CENTRAL AVE # 673",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207211910",
            "telephone_number": "301-412-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 APOLLO DR STE 100",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207744785",
            "telephone_number": "301-412-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEANDER",
        "first_name": "BROOKE",
        "middle_name": "JANET",
        "credential": "MSW, LICSW, LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19589",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiara Baskins, PT, DPT
• Bamlak Gashawbeza Batu
• Brent J Bauer, MD
• Bayside Christian Counseling and Consulting, LLC
• Be Healthy by Nature
• Beauty Counseling and Wellness
• Because We Care Counseling Services
• John Wycliff Bedeau, M.D.
• Behavioral Health-Prince Georges Health
• Luis Roberto Bejar Saona, MD

• Clinical Social Worker in Largo, MD
• Providers in Largo, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.