Tina Marie Brown, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

08621 Issued in MD

Practice address

28577 Marys CT Ste 5
Easton, MD 21601-7499

Phone

(443) 397-8506

NPI assigned

Nov 21, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Affiliated Sante Group

  • Community/Behavioral Health Agency
  • Easton, MD
  • NPI 1699519439
  NPD

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1386469567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28577 MARYS CT STE 5",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017499",
            "telephone_number": "443-397-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28577 MARYS CT STE 5",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017499",
            "telephone_number": "443-397-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "08621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald E Broskey, D.M.D.
• Sarah Broussard
• Alexa Marie Brown, M.S., OTR/L
• Belinda Brown
• Sedonna Brown
• Peter Jude Buesgens, LCSW-C
• Building Bridges Therapy Services (Building Bridges Pediatric Therapy Services)
• Alexa L Burley, CRNP-PMH
• Halina Ochota Burns, PH.D.
• Carly Vincent Burton

• Clinical Social Worker in Easton, MD
• Providers in Easton, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.

Verify at the official NPI Registry.