Individual provider Active NPI

Marqueisha Arionne Brown, LMSW

  • Clinical Social Worker
  • Center Line, MI
National Provider Identifier
1053925628
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801108876 Issued in MI
Practice address
26632 Potomac CT
Center Line, MI 48015-1626
Phone
(313) 878-2732
NPI assigned
Sep 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801108876 MI Primary
Social Worker 104100000X 6802090841 MI

Addresses

Primary practice location

26632 Potomac CT
Center Line, MI 48015-1626

Mailing address

26632 Potomac CT
Center Line, MI 48015-1626
Phone (313) 878-2732

Other practice location 1

26522 Van Dyke Ave
Center Line, MI 48015-1221
Phone (586) 759-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6802090841MIMDSocial Worker
6801108876MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Life 180 Clinical CurrentSince Mar 16, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1053925628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26632 POTOMAC CT",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151626",
            "telephone_number": "313-878-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26632 POTOMAC CT",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151626",
            "telephone_number": "313-878-2732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26522 Van Dyke Ave",
            "address_purpose": "LOCATION",
            "city": "Center Line",
            "state": "MI",
            "postal_code": "480151221",
            "country_code": "US",
            "telephone_number": "586-759-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARQUEISHA",
        "middle_name": "ARIONNE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2024-04-09",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801108876",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802090841",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Line, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.