Individual provider Active NPI

Channah Bronstein, LMSW

  • Social Worker
  • Rockville, MD
National Provider Identifier
1831780790
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
23958 Issued in MD
Practice address
12300 Twinbrook Pkwy Ste 250
Rockville, MD 20852-1606
Phone
(240) 669-9094
NPI assigned
Feb 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 23958 MD Primary

Addresses

Primary practice location

12300 Twinbrook Pkwy Ste 250
Rockville, MD 20852-1606

Mailing address

12300 Twinbrook Pkwy Ste 250
Rockville, MD 20852-1606
Phone (240) 669-9094

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
23958MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Health Operations LLC CurrentSince Feb 7, 2021 Accepting new patients

Locations

12300 Twinbrook Pkwy
Ste 250
Rockville, MD 20852
Phone (240) 315-4244

Organizations & group practices 1

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": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1831780790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 TWINBROOK PKWY STE 250",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521606",
            "telephone_number": "240-669-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 TWINBROOK PKWY STE 250",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521606",
            "telephone_number": "240-669-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONSTEIN",
        "first_name": "CHANNAH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "23958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.