Organization Active NPI

Marbrid, LLC

  • Clinical Social Worker
  • Vienna, VA
National Provider Identifier
1417382326
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006069 Issued in VA
Legal business name
MARBRID, LLC
Practice address
2225 Carmichael Dr
Vienna, VA 22181-3222
Phone
(703) 281-0897
NPI assigned
Sep 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Ms. Maura Ann Levesque, LCSWNPI 1508110230
Title
Primary Therapist and Founder
Phone
(703) 943-7611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0904006069 VA Primary

Addresses

Primary practice location

2225 Carmichael Dr
Vienna, VA 22181-3222

Mailing address

131 Church Street
Suite 5
Vienna, VA 22181
Phone (703) 943-7611

National Provider Directory

National Provider Directory

Locations

131 Church St NW
Ste 5
Vienna, VA 22180

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1417382326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 CHURCH STREET",
            "address_2": "SUITE 5",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "22181",
            "telephone_number": "703-943-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 CARMICHAEL DR",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221813222",
            "telephone_number": "703-281-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARBRID, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "LEVESQUE",
        "authorized_official_first_name": "MAURA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRIMARY THERAPIST AND FOUNDER",
        "authorized_official_telephone_number": "703-943-7611",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.