| Alex Brodt, LCSW-C | |
|
10632 Little Patuxent Pkwy Ste 245, Columbia, MD 21044-6240 | |
| (443) 823-9475 | |
| Not Available |
| Full Name | Alex Brodt |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 11 Years |
| Location | 10632 Little Patuxent Pkwy Ste 245, Columbia, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235799859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 20325 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kinetic Medical Group | 5294141909 | 7 |
| Kinetic Medical Group | 5294141909 | 7 |
| Entity Name | Kinetic Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285228585 PECOS PAC ID: 5294141909 Enrollment ID: O20220721000588 |
| Mailing Address | Practice Location Address |
|---|---|
| Alex Brodt, LCSW-C 10538 E Wind Way, Columbia, MD 21044-5606 Ph: (240) 401-7288 | Alex Brodt, LCSW-C 10632 Little Patuxent Pkwy Ste 245, Columbia, MD 21044-6240 Ph: (443) 823-9475 |
Ann Louise Pemberton, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5511 Hillfall Ct, Columbia, MD 21045 Phone: 410-493-6053 Fax: 443-718-9936 | |
Stacey Lee Hamro, LCWC-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6940 S Carlinda Ave, Columbia, MD 21046 Phone: 410-292-5073 | |
Sydni Mcmillan, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10630 Little Patuxent Pkwy Ste And209a, Columbia, MD 21044 Phone: 410-740-8066 | |
Molly King Safren, MSW, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9575 Angelina Cir, Columbia, MD 21045 Phone: 301-596-2858 Fax: 301-596-7061 | |
Arleen H Leis, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9030 State Route 108, Oakland Center, Columbia, MD 21045 Phone: 410-740-1901 Fax: 410-740-2503 | |
Holly Pittman Gillum, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6229 Deer Season Run, Columbia, MD 21045 Phone: 410-312-0561 | |
Ms. Katrina Louise Balovlenkov, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9017 Red Branch Rd, Suite 204, Columbia, MD 21045 Phone: 410-730-4500 |