Individual provider Active NPI

Tia Marie Dabney Brumsted, MSW, LCSW-C, LICSW

  • Clinical Social Worker
  • Gaithersburg, MD
National Provider Identifier
1336015478
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15060 Issued in MD
Practice address
18205 Flower Hill Way Ste a
Gaithersburg, MD 20879-5331
Phone
(240) 801-7217
NPI assigned
Oct 15, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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 LC50078763 DC
Clinical Social Worker 1041C0700X 15060 MD Primary

Addresses

Primary practice location

18205 Flower Hill Way Ste a
Gaithersburg, MD 20879-5331

Mailing address

18205 Flower Hill Way Ste a
Gaithersburg, MD 20879-5331
Phone (240) 801-7217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260420001663 DC Practitioner - Clinical Social Worker 7012483746 Reassigns benefits to 1 organization
I20260420001974 MD Practitioner - Clinical Social Worker 7012483746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50078763DCMDClinical Social Worker
15060MDMDDentist

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": "1760486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1336015478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18205 FLOWER HILL WAY STE A",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208795331",
            "telephone_number": "240-801-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18205 FLOWER HILL WAY STE A",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208795331",
            "telephone_number": "240-801-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMSTED",
        "first_name": "TIA",
        "middle_name": "MARIE DABNEY",
        "credential": "MSW, LCSW-C, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078763",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.