MEDICARE: BRENDA BOON- ALWINE LCSW-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	CW016150	PA

General Provider Information

NPI Number	:	1225991870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA BOON- ALWINE LCSW-C

Provider Business Mailing Address
First Line	:	3015 OLD ROUTE 30
Second Line	:
City	:	ORRTANNA
State	:	PA
Zip	:	17353-9424
Country	:	US
Telephone Number	:	717-357-6810
Fax Number	:

Provider Business Practice Location Address
First Line	:	12073 TECH RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-7873
Country	:	US
Telephone Number	:	301-593-1315
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	03/18/2026

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