Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breonna Kerley

Individual provider Clinical Social Worker · NPI 1568330934

Breonna Kerley is a Clinical Social Worker in Timonium, Maryland. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2025

Practice location Address checks out

2300 York Rd Ste 214
Timonium, MD 21093-2276
Phone: (443) 202-7736
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 116858 (TX)

Record details

NPI number1568330934
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 28, 2025
Last updated in NPPESOctober 28, 2025
Certification dateOctober 27, 2025
Mailing address2800 Hirschfield Rd Apt 48, Spring, TX 77373-8810

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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