Traequanda Brock, LGSW, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

26217 Issued in MD

Practice address

440 Penn St NE Apt 520
Washington, DC 20002-8373

Phone

(518) 364-4481

NPI assigned

Sep 19, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

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 and National Provider Directory roles.

• Building Beyond Therapy Inc.

  • Clinical Social Worker
  • Upper Marlboro, MD
  • NPI 1548904394
  NPD

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1811775943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MERCANTILE LN STE 433",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207744301",
            "telephone_number": "518-364-4481",
            "fax_number": "240-823-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 PENN ST NE APT 520",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200028373",
            "telephone_number": "518-364-4481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Mercantile Ln Ste 433",
            "address_purpose": "LOCATION",
            "city": "Upper Marlboro",
            "state": "MD",
            "postal_code": "207744301",
            "country_code": "US",
            "telephone_number": "518-364-4481",
            "fax_number": "240-823-1424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCK",
        "first_name": "TRAEQUANDA",
        "name_prefix": "Ms.",
        "credential": "LGSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LG50083546",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL07023200",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "26217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Brock
• Katherine Brock
• Marlon Jermaine Brock
• Rena Brock
• Stephanie Ann Brock
• Yvonne Brock, CAC-AD
• Frederick Donnell Brockett Jr.
• Dorothy Elaine Brockington, MSW
• Kelvin Brockington
• Olayinka Brockington

• Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.