Healthcare Provider Details

I. General information

NPI: 1225991870
Provider Name (Legal Business Name): BRENDA ALWINE LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12073 TECH RD
SILVER SPRING MD
20904-7873
US

IV. Provider business mailing address

3015 OLD ROUTE 30
ORRTANNA PA
17353-9424
US

V. Phone/Fax

Practice location:
  • Phone: 301-593-1315
  • Fax:
Mailing address:
  • Phone: 717-357-6810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW016150
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: