Individual provider Active NPI

Brandy Lajuan Hunter, MSW LCSW-C

  • Clinical Social Worker
  • Waldorf, MD
National Provider Identifier
1760915177
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18198 Issued in MD
Practice address
6212 Seal PL
Waldorf, MD 20603-4452
Phone
(301) 751-9597
NPI assigned
Apr 4, 2017
Last updated
May 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2018

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 18198 MD Primary

Addresses

Primary practice location

6212 Seal PL
Waldorf, MD 20603-4452

Mailing address

6212 Seal PL
Waldorf, MD 20603-4452
Phone (301) 751-9597

Other names 1

  • Ms. Brandy Lajuan Thompson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18198MDMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1760915177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6212 SEAL PL",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034452",
            "telephone_number": "301-751-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6212 SEAL PL",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034452",
            "telephone_number": "301-751-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "BRANDY",
        "middle_name": "LAJUAN",
        "name_prefix": "Mrs.",
        "credential": "MSW LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "THOMPSON",
            "middle_name": "LAJUAN",
            "prefix": "MS.",
            "credential": "MSW LCSW-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.