Individual provider Active NPI

Breanne Christian, MSW, LCSW

  • Clinical Social Worker
  • Exton, PA
National Provider Identifier
1982965117
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW022638 Issued in PA
Practice address
102 Pickering Way Ste 506
Exton, PA 19341-1330
Phone
(856) 472-5092
NPI assigned
Jun 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW022638 PA Primary
Clinical Social Worker 1041C0700X 44SC05531700 NJ

Addresses

Primary practice location

102 Pickering Way Ste 506
Exton, PA 19341-1330

Mailing address

102 Pickering Way Ste 506
Exton, PA 19341-1330
Phone (856) 472-5092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20230330002667 PA Practitioner - Clinical Social Worker 0345576013 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW022638PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. Clinical CurrentSince Feb 1, 2026 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. Clinical CurrentSince Feb 1, 2026 Accepting new patients
Virtua Medical Group, PA Past Accepting new patients

Locations

102 Pickering Way
Ste 506
Exton, PA 19341
Phone (856) 472-5092

7 Neshaminy Interplex Dr
Trevose, PA 19053

Organizations & group practices 4

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": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1982965117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PICKERING WAY STE 506",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411330",
            "telephone_number": "856-472-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PICKERING WAY STE 506",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411330",
            "telephone_number": "856-472-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "BREANNE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022638",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05531700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

Verify at the official NPI Registry.