Active NPI
Marqueisha Arionne Brown, LMSW
- Clinical Social Worker
- Center Line, MI
National Provider Identifier
1053925628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801108876
- Practice address
- 26632 Potomac CT
Center Line, MI 48015-1626 - Phone
- (313) 878-2732
- NPI assigned
- Sep 1, 2020
- Last updated
- Apr 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6802090841 | MI | MD | Social Worker |
| 6801108876 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life 180 | Clinical | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.