Individual provider Active NPI

Marie Brizard Delices, SOCIAL WORKER

  • Clinical Social Worker
  • Gaithersburg, MD
National Provider Identifier
1487130787
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20767 Issued in MD
Practice address
7905 Brethren Dr
Gaithersburg, MD 20879-5640
Phone
(347) 463-6704
NPI assigned
Jul 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 20767 MD Primary

Addresses

Primary practice location

7905 Brethren Dr
Gaithersburg, MD 20879-5640

Mailing address

7905 Brethren Dr
Gaithersburg, MD 20879-5640
Phone (347) 463-6704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190611000081 DC Practitioner - Clinical Social Worker 3870826183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7905 Brethren Dr
Gaithersburg, MD 20879-5640
Phone (240) 686-5614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Single Specialty CurrentSince Apr 3, 2019 Accepting new patients
Lesdelices LLC Clinical CurrentSince Feb 16, 2021 Accepting new patients
Lapaixdesprit LLC Clinical PastSince Feb 16, 2021 Accepting new patients

Locations

6076 Franconia Rd
Ste D
Alexandria, VA 22310
Phone (703) 828-9054

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 3

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": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1487130787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7905 BRETHREN DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208795640",
            "telephone_number": "347-463-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 BRETHREN DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208795640",
            "telephone_number": "347-463-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELICES",
        "first_name": "MARIE",
        "middle_name": "BRIZARD",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.