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BROOK LANE BEHAVIORAL SERVICES, INC.
NPI 1003304106
Clinic/Center - Rehabilitation, Substance Use Disorder in Hagerstown, MD

Active since April 25, 2018CLIA 21D0976366 · Waiver
18714 N VILLAGE, HAGERSTOWN, MD 21742(301) 733-0330(301) 733-4038 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 15, 2023, Oct 1, 2018, Apr 25, 2018 (3 updates tracked since 2018).

About Brook Lane Behavioral Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOK LANE BEHAVIORAL SERVICES, INC. (NPI 1003304106) is a healthcare organization registered as a rehabilitation, substance use disorder in Hagerstown, Maryland and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through August 1, 2026 and lists Joshua Repac, Cfo, as its authorized official.

NPPES Registry Identity

NPI1003304106
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameBROOK LANE BEHAVIORAL SERVICES, INC.
Location Address18714 N VILLAGEHagerstown, MD 21742-2454
Mailing Address13121 Brooklane DrHagerstown, MD 21742-1514 · (301) 733-0330 · Fax (301) 733-4038
Phone(301) 733-0330
Fax(301) 733-4038
Organization SubpartNo
Authorized OfficialJoshua RepacCfo · (301) 790-9351
Enumeration DateApril 25, 2018
Last NPPES UpdateFebruary 17, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
✔ NPI 1003304106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in MD · BH000028
18714 N VILLAGE, Hagerstown, MD 21742
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D0976366

Brook Lane Health Services · Hagerstown, MD
Active · expires Aug 1, 2026
CLIA Number21D0976366
Laboratory TypeHospital
Certificate Effective DateAugust 2, 2024
Certificate Expiration DateAugust 1, 2026
Laboratory DirectorJill Pile
Laboratory Phone(301) 733-0330
Laboratory LocationBrook Lane Health Services13215 Brook Lane, Hagerstown, MD 21742
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

MRS. MARY ELLEN GRAHAM LCPC
Counselor (Mental Health)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Washington County (301) 733-0330
MRS. DIANA JEAN MCCUTCHEON LCSWC
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Washington County (301) 733-0331
MR. WILLIAM BECKWARD LCSWC
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Washington County (301) 733-0330
MRS. LESA KAHL LCPC
Counselor (Mental Health)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Washington County (301) 733-0330
LINDA COLE LCSW-C
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Washington County (301) 733-0331
MARLENA PIQUE LCSWC
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Washington County (301) 733-0330
MS. JILL L. ROWLAND LCSWC, CAC
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Washington County (301) 733-0330
DOROTHY A. STRAWSBURG LCSW-C
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Washington County (301) 733-0331
PATRICIA HOLLINGER LCPC
Counselor (Mental Health)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Washington County (301) 733-0330
AMY NELSON LCSW-C
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Washington County (301) 733-0330
KARA L ACRE LCSWC
Social Worker
18714 N VILLAGE
HAGERSTOWN, MD 21742
Washington County (301) 733-0330
MR. FRED N EDELL MA LCPC
Counselor (Professional)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Washington County (301) 733-0330
VICKI S CHURCHEY LCSW
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Washington County (301) 733-0330
MELISSA ROSE JACKSON LCSW-C
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Washington County (301) 733-0330
DONNA FOGLE LCSWC
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Washington County (301) 733-0331
DEBRA L AMBROSE LCSWC
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Washington County (301) 733-0331
FREDERICK J NASTRI LCPC
Counselor (Professional)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Washington County (301) 733-0331
MISS RENA VANESSA ARNOLD LCSW-C
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Washington County (301) 733-0330
SARAH B. SCHIFFRES-GROVE LCSW-C
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Washington County (301) 733-0330
ANNA K. ELWOOD PMH NP-BC
Nurse Practitioner (Psychiatric/Mental Health)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Washington County (301) 733-0330

Frequently Asked Questions

What is BROOK LANE BEHAVIORAL SERVICES, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1003304106, enumerated as an "organization" on April 25, 2018.

Where is the provider located?

The provider is located at 18714 N VILLAGE HAGERSTOWN, MD 21742 and the phone number is (301) 733-0330.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.