Provider Demographics
NPI:1346032554
Name:TODD, NKENGMI BRENDA
Entity type:Individual
Prefix:
First Name:NKENGMI
Middle Name:BRENDA
Last Name:TODD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6614 WINDSOR MILL RD
Mailing Address - Street 2:
Mailing Address - City:GWYNN OAK
Mailing Address - State:MD
Mailing Address - Zip Code:21207-5381
Mailing Address - Country:US
Mailing Address - Phone:443-676-6032
Mailing Address - Fax:443-676-6032
Practice Address - Street 1:2118 N CHARLES ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-5737
Practice Address - Country:US
Practice Address - Phone:410-332-8021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator