Healthcare Provider Details

I. General information

NPI: 1487207338
Provider Name (Legal Business Name): BRITTANY VAN DEVANDER LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2019
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 N POINT BLVD STE 128
BALTIMORE MD
21224-3417
US

IV. Provider business mailing address

789 SUNNYFIELD LN
BROOKLYN PARK MD
21225-3364
US

V. Phone/Fax

Practice location:
  • Phone: 443-231-3040
  • Fax:
Mailing address:
  • Phone: 443-842-0449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number22875
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: