Jessica Indriani Gaddy Brown, LICSW
Individual provider Active NPI Clinical Social Worker · Washington, DC
NPI 1013364652 · NPPES record last updated Jun 10, 2020
Key facts
- NPI
- 1013364652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 996 Maine Ave SW # 444
Washington, DC 20024-3440 - Phone
- (909) 831-7044
- NPI assigned
- May 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nia Noire PLLC | Clinical | Current |
Accepting new patients |
| Woodley Park Clinical Services, LLC | Clinical | Past |
Accepting new patients |
Locations
996 Maine Ave SW
#444
Washington, DC 20024
Phone (202) 599-5906
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
996 Maine Ave SW # 444
Washington, DC 20024-3440
Mailing address
996 Maine Ave SW # 444
Washington, DC 20024-3440
Phone (909) 831-7044
Other practice location 1
3000 Connecticut Ave NW Ste 410
Washington, DC 20008-2552
Phone (240) 481-1892
Other providers in Washington, DC
- Jayla Renae Brown
- Jeannete Brown
- Jenard Brown
- Jermaine Brown
- Jessica Brown
- Joanne Brown
- Jordan Brown
- Joseph Brown
- Joseph Anthony Brown
- Joseph Matthew Brown
All providers in Washington, DC · Clinical Social Worker in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.