Michelle Brown Dodge, JD, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13358 Issued in MD

Practice address

6930 Carroll Ave
Suite 400
Takoma Park, MD 20912-4423

Phone

(301) 891-2060

Fax

(301) 576-4461

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Juris Doctor

State licenses

Practice roles

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.

• JMD Counseling and Therapeutic Services, LLC

  • Clinical Social Worker
  • Takoma Park, MD
  • NPI 1477688760
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1447307228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6930 CARROLL AVE",
            "address_2": "SUITE 905",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124423",
            "telephone_number": "301-891-2060",
            "fax_number": "301-576-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 CARROLL AVE",
            "address_2": "SUITE 400",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124423",
            "telephone_number": "301-891-2060",
            "fax_number": "301-576-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN DODGE",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "JD, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13358",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078307",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Claire Breuninger, MSN, MPH, CPNP-PC
• Lum Aweh Bridget, MRS.
• Bright Path Creative, LLC
• Bright Star Family Clinic Inc
• Andres Castano Brito Jr., DC
• Evelyn Brown Whitelocke
• Leon Edward Brown Sr., MD
• Natacha Brown
• Shantale Brown
• Sally S Brucker, LCSW-C

• Clinical Social Worker in Takoma Park, MD
• Providers in Takoma Park, 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 Dec 17, 2010; 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.