Marianne B. Branham, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW005043 Issued in MO

Legal business name

MARIANNE B. BRANHAM, LCSW, LLC

Practice address

2716 Forum Blvd.
Suite 4B
Columbia, MO 65203

Phone

(573) 817-9611

Fax

(573) 817-9610

NPI assigned

Sep 15, 2017

Organization subpart

No

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

Authorized official

Name

Marianne BranhamNPI 1124105622

Title

Sole Owner

Phone

(573) 817-9611

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marianne Bailey Branham, LCSW

  • Mental Health Counselor
  • Columbia, MO
  • NPI 1124105622
  Medicare reassignment NPD Authorized official
• Julianne Midkiff, LCSW

  • Clinical Social Worker
  • Columbia, MO
  • NPI 1346389731
  NPD (past)

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295254704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 FORUM BLVD STE 4B",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035450",
            "telephone_number": "573-817-9611",
            "fax_number": "573-817-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 FORUM BLVD.",
            "address_2": "SUITE 4B",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65203",
            "telephone_number": "573-817-9611",
            "fax_number": "573-817-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANNE B. BRANHAM, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BRANHAM",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "573-817-9611"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "SW005043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10849131",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1124105622",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Lynn Mapes, PH.D.
• Maaz Sohail Maqbool, MD
• Sonya Marbury, LCSW
• Chamelle Jan March, G.N.P.
• Patricia Sue Marchack, MS SLP
• Marilyn H. White, PH.D., P.C.
• Mark a. Manary, O.D., LLC
• Mark Stampehl, MD LLC
• Marcy Dawn Markes, APRN, FNP-BC, AE-C
• John Gregory Markley, M.D.

• Clinical Social Worker in Columbia, MO
• Providers in Columbia, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.