Individual provider Active NPI

Marna Wollman Brickman

  • Clinical Social Worker
  • Annapolis, MD
National Provider Identifier
1184267130
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21319 Issued in MD
Practice address
2431 Solomons Island Rd Ste 200
Annapolis, MD 21401-3730
Phone
(410) 757-2077
NPI assigned
Oct 22, 2019
Last updated
Oct 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 21319 MD Primary

Addresses

Primary practice location

2431 Solomons Island Rd Ste 200
Annapolis, MD 21401-3730

Mailing address

607 Puritan CT
Annapolis, MD 21401-8735
Phone (202) 230-8990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2025 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arundel Mental Health Professionals LLC CurrentSince Jul 31, 2022 Accepting new patients
MWB Associates LLC CurrentSince Oct 25, 2020 Accepting new patients

Locations

2431 Solomons Island Rd
Ste 200
Annapolis, MD 21401
Phone (410) 916-3464

Organizations & group practices 2

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": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1184267130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 PURITAN CT",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214018735",
            "telephone_number": "202-230-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 SOLOMONS ISLAND RD STE 200",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013730",
            "telephone_number": "410-757-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKMAN",
        "first_name": "MARNA",
        "middle_name": "WOLLMAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.