Stephanie M Brown
Individual provider Active NPI Clinical Social Worker · Brandywine, MD
NPI 1134525959 · NPPES record last updated Feb 24, 2022
Key facts
- NPI
- 1134525959
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 18387 (MD)
- Practice address
- 15230 Regina Dr
Brandywine, MD 20613-4225 - Phone
- (240) 844-2441
- NPI assigned
- Nov 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220809004142 | DC | Practitioner - Clinical Social Worker | 8921433129 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18387 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Beyond Dynamic Potential LLC | Social Worker | Current |
Accepting new patients |
Interoperability endpoints
- stephaniebrown@tdh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC50081157 | DC | |
| Clinical Social Worker | 1041C0700X | 18387 | MD | Yes |
Addresses
Primary practice location
15230 Regina Dr
Brandywine, MD 20613-4225
Mailing address
15230 Regina Dr
Brandywine, MD 20613-4225
Phone (240) 844-2441
Other providers in Brandywine, MD
- Anna Bonamy
- Joann Antoinette Borges-Jones
- Patricia Ann Brantley
- Brook Dialysis LLC
- Hollie Brown
- Bulldog Medical PLLC
- Brenda L Burnett
- Janae Butler
- Shameeka Butler
- Calcium Dental
All providers in Brandywine, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.