Marissa Brown

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904017662 Issued in VA

Practice address

3908 Breezeport Way
Suffolk, VA 23435-1085

Phone

(757) 537-9379

NPI assigned

Feb 4, 2025

Sex

Female

Sole proprietor

Yes

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.

• The Healing Haven LLC

  • Clinical Social Worker
  • Suffolk, VA
  • NPI 1801601737

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1689488181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SHIPYARD RD STE D",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233235517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 BREEZEPORT WAY",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351085",
            "telephone_number": "757-537-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904017662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Ann Brooks
• Kathryn Frances Brooks, MD
• Allyson L Brown, RN, IBCLC
• Aneshia Anne Brown
• Kendrick Brown
• Nicole Short Brown
• Patricia Brown
• Patricia Brown, RN
• Rose Ann Brown
• Tawuana Brown

• All providers in Suffolk, VA
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.