Katrina Renise Brickhouse, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50079501 Issued in DC

Practice address

1004 Ashleigh Station CT
Bowie, MD 20721-6007

Phone

(202) 679-1615

NPI assigned

Feb 9, 2013

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)

Enrolled

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.

• Inner City Family Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
  • NPI 1447556600
  NPD (past)
• Inner City Family Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Washington, DC
  • NPI 1639419054
  NPD (past)

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

{
    "created_epoch": "1360368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360368000000",
    "number": "1699014738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 ASHLEIGH STATION CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207216007",
            "telephone_number": "202-679-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 ASHLEIGH STATION CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207216007",
            "telephone_number": "202-679-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKHOUSE",
        "first_name": "KATRINA",
        "middle_name": "RENISE",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-09",
        "last_updated": "2013-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Harrison Brantley, MD
• Briana Renee Brazziel
• Breem Healthcare Services
• Alisha Diane Brennen, D.D.S.
• Sierra Brewer
• Bright Healthcare Services, LLC
• Bright Life ABA MD
• Bright Starr Pediatric Dentistry, LLC
• Brightermind Psychiatric and Wellness Services LLC
• Brightview Homecare Services

• 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 Feb 9, 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.