BRANDYWINE COUNSELING, INC. NPI 1861541781

Counselor (Addiction (Substance Use Disorder)) in Wilmington, DE

Organization Counselor Addiction (Substance Use Disorder) CLIA Certificate of Waiver

About BRANDYWINE COUNSELING, INC.

Brandywine Counseling, Inc. is a provider established in Wilmington, Delaware specializing in counselor. The NPI number of Brandywine Counseling, Inc. is 1861541781 and was assigned on January 2007. The practitioner's primary taxonomy code is 101YA0400X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Brandywine Counseling, Inc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Linda Boyer (Director Of Billing)

The CLIA number of Brandywine Counseling, Inc. is 08D1043525 registered as a "other practitioner" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Brandywine Counseling, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1861541781

Provider NameBRANDYWINE COUNSELING, INC.
Provider Location Address2713 LANCASTER AVE WILMINGTON, DE 19805
Provider Mailing Address2713 LANCASTER AVE WILMINGTON, DE 19805
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?N/A
Enumeration Date01-09-2007
Last Update Date07-08-2007

Primary Taxonomy

Taxonomy Code101YA0400X
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
SpecializationAddiction (Substance Use Disorder)

Business Address

BRANDYWINE COUNSELING, INC.
2713 LANCASTER AVE
WILMINGTON, DE
ZIP 19805
Phone: (302) 655-9880

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Mailing Address

BRANDYWINE COUNSELING, INC.
2713 LANCASTER AVE
WILMINGTON, DE
ZIP 19805
Phone: (302) 655-9880

Authorized Official

Authorized Official Name LINDA BOYER
Authorized Official TitleDIRECTOR OF BILLING
Authorized Official Phone(302) 655-9633

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1861541781 is:

CLIA Number08D1043525
Facility TypeOTHER PRACTITIONER
Certificate TypeCertificate of Waiver

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1023169356 BRENDA L CIBROSKI
Individual
Counselor (Addiction (Substance Use Disorder))2713 LANCASTER AVE
WILMINGTON, DE 19805
(302) 656-2348
1104977305 NOELLE M HENRY
Individual
Social Worker (Clinical)2713 LANCASTER AVE
WILMINGTON, DE 19805
(302) 656-2348
1194877522 JOHN K OKADA
Individual
Counselor (Addiction (Substance Use Disorder))2713 LANCASTER AVE
WILMINGTON, DE 19805
(302) 656-2348
1205987146 CANDICE L MURRAY
Individual
Counselor (Addiction (Substance Use Disorder))2713 LANCASTER AVE
WILMINGTON, DE 19805
(302) 656-2348
1295887800MRS. VALERIE M BROWN
Individual
Counselor (Addiction (Substance Use Disorder))2713 LANCASTER AVE
WILMINGTON, DE 19805
(302) 656-2348
1346391638 STEPHANIE L GENTILE
Individual
Counselor (Addiction (Substance Use Disorder))2713 LANCASTER AVE
WILMINGTON, DE 19805
(302) 656-2348
1356492235 TERESA MARVEL
Individual
Counselor (Addiction (Substance Use Disorder))2713 LANCASTER AVE
WILMINGTON, DE 19805
(302) 656-2348
1366593592 EDNA I MALDONADO
Individual
Counselor (Addiction (Substance Use Disorder))2713 LANCASTER AVE
WILMINGTON, DE 19805
(302) 656-2348
1366593691 SHERRY COOK
Individual
Counselor (Addiction (Substance Use Disorder))2713 LANCASTER AVE
WILMINGTON, DE 19805
(302) 656-2348
1376695601 DOMENICA A PERSONTI
Individual
Social Worker (Clinical)2713 LANCASTER AVE
WILMINGTON, DE 19805
(302) 656-2348
1467502419 SUSAN P BECKMAN
Individual
Counselor (Addiction (Substance Use Disorder))2713 LANCASTER AVE
WILMINGTON, DE 19805
(302) 656-2348
1467503201 ILIAN BUSTOS
Individual
Counselor (Addiction (Substance Use Disorder))2713 LANCASTER AVE
WILMINGTON, DE 19805
(302) 656-2348
1518018860 JENNIFER M DESIMONE
Individual
Counselor (Addiction (Substance Use Disorder))2713 LANCASTER AVE
WILMINGTON, DE 19805
(302) 656-2348
1528118684 BASHA ALEXANDRA CLOSIC
Individual
Counselor (Addiction (Substance Use Disorder))2713 LANCASTER AVE
WILMINGTON, DE 19805
(302) 655-9880
1629129515 VIRGINIA T MCNEIL
Individual
Counselor (Addiction (Substance Use Disorder))2713 LANCASTER AVE
WILMINGTON, DE 19805
(302) 656-2348
1700937901 KATHLEEN T KELLEY
Individual
Counselor (Addiction (Substance Use Disorder))2713 LANCASTER AVE
WILMINGTON, DE 19805
(302) 656-2348
1730230673 KEFA M MONG'ARE
Individual
Counselor (Addiction (Substance Use Disorder))2713 LANCASTER AVE
WILMINGTON, DE 19805
(302) 656-2348
1770646655 JOSEPH A GLICK M.D.
Individual
Family Medicine2713 LANCASTER AVE
WILMINGTON, DE 19805
(302) 656-2348
1851442065 JENNIFER A KUTNEY
Individual
Counselor (Addiction (Substance Use Disorder))2713 LANCASTER AVE
WILMINGTON, DE 19805
(302) 656-2348
1922159276 DANIELLE L ENNIS
Individual
Counselor (Addiction (Substance Use Disorder))2713 LANCASTER AVE
WILMINGTON, DE 19805
(302) 656-2348

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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