Individual provider Active NPI

Brenda Sue Price, LCSW-C

  • Clinical Social Worker
  • Hagerstown, MD
National Provider Identifier
1689776833
Registry record updated Jun 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
08386 Issued in MD
Practice address
113 S Prospect St
Hagerstown, MD 21740-5409
Phone
(301) 745-1900
Fax
(301) 745-4110
NPI assigned
Sep 1, 2006
Last updated
Jun 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2012

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 08386 MD Primary

Addresses

Primary practice location

113 S Prospect St
Hagerstown, MD 21740-5409

Mailing address

113 S Prospect St
Hagerstown, MD 21740-5409
Phone (301) 745-1900

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
I20040716001046 MD Practitioner - Clinical Social Worker 5698754216 Practice locations: Hagerstown, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Maryland School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

113 S Prospect St
Hagerstown, MD 21740-5409
Phone (301) 745-1900

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340409600000",
    "number": "1689776833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 S PROSPECT ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405409",
            "telephone_number": "301-745-1900",
            "fax_number": "301-745-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S PROSPECT ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405409",
            "telephone_number": "301-745-1900",
            "fax_number": "301-745-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "BRENDA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2012-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "08386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.