Healthcare Provider Details

I. General information

NPI: 1235047382
Provider Name (Legal Business Name): BRITTANY ANDREA BRACEY-HAILEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRITTANY ANDREA HAILEY

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3103 ERDMAN AVE
BALTIMORE MD
21213-1719
US

IV. Provider business mailing address

4324 BEDROCK CIR APT 201
NOTTINGHAM MD
21236-5641
US

V. Phone/Fax

Practice location:
  • Phone: 443-835-4825
  • Fax:
Mailing address:
  • Phone: 410-831-1104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number444179600
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: