Individual provider Active NPI

Cheryl Bruns, LCSW-C

  • Clinical Social Worker
  • Ellicott City, MD
National Provider Identifier
1780840512
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11534 Issued in MD
Practice address
8370 Court Ave
#200
Ellicott City, MD 21043
Phone
(410) 218-8246
Fax
(410) 571-8368
NPI assigned
Jul 31, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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 11534 MD Primary

Addresses

Primary practice location

8370 Court Ave
#200
Ellicott City, MD 21043

Mailing address

2198 Oak Forest Drive
Ellicott City, MD 21043-1966
Phone (410) 218-8246

Other identifiers 1

IdentifierTypeStateIssuer
018529900MedicaidMD

Other names 1

  • Mrs. Cheryl Michels Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2023 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11534MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sttar Center Inc Clinical Past Accepting new patients
Kennedy Krieger Children'S Hospital, Inc. Past Accepting new patients
Family & Childrens Services of Central Maryland Clinical Past Accepting new patients

Organizations & group practices 3

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": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1780840512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2198 OAK FOREST DRIVE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210431966",
            "telephone_number": "410-218-8246",
            "fax_number": "410-366-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8370 COURT AVE",
            "address_2": "#200",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "21043",
            "telephone_number": "410-218-8246",
            "fax_number": "410-571-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNS",
        "first_name": "CHERYL",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018529900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "MICHELS",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.