Tandra Nicole Brown Lee, LICSW, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50081239 Issued in DC

Practice address

3519 Regency Pkwy
District Heights, MD 20747-3819

Phone

(240) 274-4702

NPI assigned

Jan 7, 2016

Last updated

Mar 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Tandra Nicole Brown Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1053777995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 REGENCY PKWY",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207473819",
            "telephone_number": "240-274-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 REGENCY PKWY",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207473819",
            "telephone_number": "240-274-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "TANDRA",
        "middle_name": "NICOLE BROWN",
        "credential": "LICSW, LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13915",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50081239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW-C",
            "identifier": "13915",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DISTRICT OF COLUMBIA BOARD OF SOCIAL WORK",
            "identifier": "LG50079107",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW",
            "identifier": "LC50081239",
            "state": "DC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tandra.lee@youmehealthcare.com",
            "affiliation": "N",
            "endpointDescription": "direct messaging address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3519 Regency Pkwy",
            "city": "District Heights",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207473819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TANDRA",
            "last_name": "BROWN",
            "middle_name": "NICOLE",
            "credential": "LGSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lakeforest Ambulatory Surgery Center
• Larosiliere and Associates Dental Care, PA (Essence Dental Care)
• Patrick B Larosiliere, D.D.S.
• Joosang Lee
• Mary Lee
• Kiera Elysse Leonard, DNP, FNP-BC
• Sheree Martin Leonard, LC10485
• Chelsea Lewis-Wilkins, LCPC
• Kourtny Deana Lewis, PA-C
• Life Changer Health Services LLC

• Clinical Social Worker in District Heights, MD
• Providers in District Heights, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.