Harriet Broadnax-Brown, MSW,LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1041C0700X Issued in DC

Practice address

2813 Spiral LN
Bowie, MD 20715-2137

Phone

(301) 809-1856

NPI assigned

Oct 4, 2013

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

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

Medicare enrollment (NPD)

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.

• Psi Services III, Inc.

  • Adult Mental Health Clinic/Center
  • Washington, DC
  • NPI 1942578133

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1659708626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 SPIRAL LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207152137",
            "telephone_number": "301-809-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 SPIRAL LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207152137",
            "telephone_number": "301-809-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADNAX-BROWN",
        "first_name": "HARRIET",
        "credential": "MSW,LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "1041C0700X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brilliance Behavioral Health
• Konni Elaine Bringman, M.D.
• Letiya Brinkley
• James Matthew Brinster, DDS
• Olga Brizuela, LCSW-C
• Brohawk
• Charles Michael Bronder Jr., R PH
• Aliya Brooks
• Ebony Brooks, M.A., CCC-SLP
• Jami S. Brooks

• Clinical Social Worker in Bowie, MD
• Providers in Bowie, 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 Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.