Healthcare Provider Details

I. General information

NPI: 1336060854
Provider Name (Legal Business Name): JULIANNA MARGARET BRUNN LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 E PENNSYLVANIA AVE
TOWSON MD
21286-5118
US

IV. Provider business mailing address

20 BELLCHASE CT
BALTIMORE MD
21208-1300
US

V. Phone/Fax

Practice location:
  • Phone: 443-905-6688
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number35185
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: