NPIMap

Individual provider Active NPI

Jeffrey Keenan Brunell, M.S.W., LGSW

  • Clinical Social Worker
  • Towson, MD
National Provider Identifier
1871990655
Registry record updated Nov 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20441 Issued in MD
Practice address
1001 Cromwell Bridge Rd
Towson, MD 21286-3300
Phone
(410) 337-5523
NPI assigned
Nov 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2014

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 20441 MD Primary

Addresses

Primary practice location

1001 Cromwell Bridge Rd
Towson, MD 21286-3300

Mailing address

1908 Sulgrave Ave
2
Baltimore, MD 21209-4578
Phone (410) 353-5520

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

Practice roles

OrganizationSpecialtyStatusNew patients
Key Point Health Services, Inc Past Accepting new patients

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": "1416614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416614400000",
    "number": "1871990655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 SULGRAVE AVE",
            "address_2": "2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094578",
            "telephone_number": "410-353-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CROMWELL BRIDGE RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212863300",
            "telephone_number": "410-337-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNELL",
        "first_name": "JEFFREY",
        "middle_name": "KEENAN",
        "name_prefix": "Mr.",
        "credential": "M.S.W., LGSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-22",
        "last_updated": "2014-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2014; 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.