Brandy Tina Kolenbrander, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10668 Issued in MD

Practice address

819 Ritchie Highway Suite 1020
Severna Park, MD 21146

Phone

(410) 431-5111

Fax

(410) 431-5112

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brandy Tina Mobin Former name

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Remedy Counseling, LLC

  • Clinical Social Worker
  • Severna Park, MD
  • NPI 1568736007
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1881789774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 RITCHIE HIGHWAY SUITE 1020",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "21146",
            "telephone_number": "410-431-5111",
            "fax_number": "410-431-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 RITCHIE HIGHWAY SUITE 1020",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "21146",
            "telephone_number": "410-431-5111",
            "fax_number": "410-431-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLENBRANDER",
        "first_name": "BRANDY",
        "middle_name": "TINA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033881800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "MOBIN",
            "middle_name": "TINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Ann Knight, RN, IBCLC, RLC
• Vanessa Lynne Knoll, LGPC
• Clara Ko, PH.D.
• Viktoria Koch, RBT
• Rachel Kohlway, LCPC
• Christina Kopec
• Aglaia Koutsonikas, BEHAVIOR TECHNICIAN
• Michelle S Krause, MEDICAL MASSAGE
• Jamie Krens
• Reed Kroncke, PT

• Clinical Social Worker in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.