EMILY BREICHNER LMSW
NPI 1427610724
Social Worker - School in Baltimore, MD

NPI Status: Active since July 08, 2019

Contact Information

1301 WOODBOURNE AVE
BALTIMORE, MD
ZIP 21239
Phone: (410) 433-1000

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  • Individual
  • Female
  • Years of Experience 11
  • Social Worker
  • School
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About EMILY BREICHNER

This page provides the complete NPI Profile along with additional information for Emily Breichner, a provider established in Baltimore, Maryland with a medical specialization in Social Worker, focusing in school and more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1427610724 assigned on July 2019. The practitioner's primary taxonomy code is 1041S0200X with license number 22292 (MD). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1427610724
Provider Name
EMILY BREICHNER LMSW
Gender
Female
Entity Type
Individual
Location Address
1301 WOODBOURNE AVE BALTIMORE, MD 21239
Location Phone
(410) 433-1000
Mailing Address
1301 WOODBOURNE AVE BALTIMORE, MD 21239
Medical School Name
OTHER
Graduation Year
2016
Is Sole Proprietor?
No
Enumeration Date
07-08-2019
Last Update Date
07-08-2019
Code Navigator

A school social worker like Emily Breichner works with teachers, parents, and school administrators to develop plans and strategies to improve students' academic performance and social development. Students are referred to school social workers to deal with problems like aggressive behavior, bullying, or frequent school absences.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker School

Taxonomy Code
1041S0200X
Type
Behavioral Health & Social Service Providers
License No.
22292
License State
MD

Medicare Participation & PECOS Enrollment Status

Emily Breichner is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Emily Breichner is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3375042641

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250815000167

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for EMILY BREICHNER LMSW

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1427610724, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
2
Doubled → 4
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 6 → 12 → 3 0 → 0 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 4 + 7 + 1 + 2 + 1 + 0 + 7 + 4 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1427610724.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Psychiatric Residential Treatment Facility
1301 WOODBOURNE AVE
BALTIMORE, MD 21239
Social Worker (School)
1301 WOODBOURNE AVE
BALTIMORE, MD 21239
Psychologist (Clinical)
1301 WOODBOURNE AVE
BALTIMORE, MD 21239
Pediatrics
1301 WOODBOURNE AVE
BALTIMORE, MD 21239
Residential Treatment Facility, Emotionally Disturbed Children
1301 WOODBOURNE AVE
BALTIMORE, MD 21239

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427610724, enumerated as an "individual" on July 08, 2019.

The provider is located at 1301 WOODBOURNE AVE BALTIMORE, MD 21239 and the phone number is (410) 433-1000.

Social Worker with taxonomy code 1041S0200X and a focus in School.