Ms Traci Jean Brautigan, LMSW, LGADC in Annapolis, MD - Social Worker

Ms Traci Jean Brautigan, LMSW, LGADC is a Social Worker - Clinical based in Annapolis, Maryland. Ms Traci Jean Brautigan is licensed to practice in Maryland (license number 24099) and her current practice location is 102 Old Solomons Island Rd Ste 202, Annapolis, Maryland. She can be reached at her office (for appointments etc.) via phone at (410) 266-3058.

NPI number for Ms Traci Jean Brautigan is 1528608734 and her current mailing address is 14031 Briarwood Dr, Laurel, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528608734.

Contact Information

	Ms Traci Jean Brautigan, LMSW, LGADC
	102 Old Solomons Island Rd Ste 202, Annapolis, MD 21401-3879
	(410) 266-3058
	Not Available

Healthcare Provider's Profile

Full Name	Ms Traci Jean Brautigan
Gender	Female
Speciality	Social Worker - Clinical
Location	102 Old Solomons Island Rd Ste 202, Annapolis, Maryland
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1528608734
Provider Enumeration Date: 01/15/2020
Last Update Date: 01/15/2020

Medical Identifiers

Medical identifiers for Ms Traci Jean Brautigan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528608734	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	LGA2763 (Maryland)	Secondary
1041C0700X	Social Worker - Clinical	24099 (Maryland)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Traci Jean Brautigan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Traci Jean Brautigan, LMSW, LGADC 14031 Briarwood Dr, Laurel, MD 20708-1311 Ph: (301) 257-4963	Ms Traci Jean Brautigan, LMSW, LGADC 102 Old Solomons Island Rd Ste 202, Annapolis, MD 21401-3879 Ph: (410) 266-3058

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Ms Traci Jean Brautigan, LMSW, LGADC - Counselor in Annapolis, MD