MARY BRENNEMAN LCSW-C
NPI 1023041191
Social Worker in Baltimore, MD

Q: What is Mary Brenneman's NPI number?

The NPI number for Mary Brenneman is 1023041191. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Q: What is Mary Brenneman's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: Is Mary Brenneman enrolled in Medicare?

No. Mary Brenneman has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Mary Brenneman was last updated on October 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 09, 2006Opted out of Medicare · through Apr 1, 2028

7827 WISE AVE, BALTIMORE, MD 21222(410) 282-7222(410) 282-0069 Get Directions Write a Review

NPPES record last updated: October 11, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mary Brenneman Lcsw-c NPPES

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

MARY BRENNEMAN LCSW-C (NPI 1023041191) is an individual social worker in Baltimore, Maryland, licensed in Maryland (04998) and active in the NPI registry since July 2006. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1023041191

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMARY BRENNEMANCredential: LCSW-C

Location Address7827 WISE AVEBaltimore, MD 21222-3339

Mailing Address7827 Wise AveBaltimore, MD 21222-3339 · (410) 282-7222 · Fax (410) 282-0069

Phone(410) 282-7222

Fax(410) 282-0069

Sole ProprietorYes

Enumeration DateJuly 9, 2006

Last NPPES UpdateOctober 11, 2007

✔ NPI 1023041191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MD · 04998

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

7827 WISE AVE, Baltimore, MD 21222

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Other Identifiers 1

Medicare PIN436LO329MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mary Brenneman Lcsw-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY WITCZAK PSYD

Psychologist

7827 WISE AVE
DUNDALK, MD 21222

Baltimore County (410) 282-7222

RAYMOND GREEN LCPC

Counselor