Individual provider Active NPI

Marquessa V Brown, PHD, LCSW-C

  • Clinical Social Worker
  • Silver Spring, MD
National Provider Identifier
1710224977
Registry record updated May 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
03545 Issued in MD
Practice address
409 Waterford Rd
Shipping Address Line 2
Silver Spring, MD 20901-2740
Phone
(301) 633-0764
NPI assigned
Jan 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 03545 MD Primary
Clinical Social Worker 1041C0700X LC301739 DC

Addresses

Primary practice location

409 Waterford Rd
Shipping Address Line 2
Silver Spring, MD 20901-2740

Mailing address

409 Waterford Rd
Shipping Address Line 2
Silver Spring, MD 20901-2740
Phone (301) 633-0764

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
I20060503000764 DC Practitioner - Clinical Social Worker 2961412036 Practice locations: Silver Spring, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1107 A3 Spring St
Silver Spring, MD 20910-4027
Phone (240) 338-6192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368921600000",
    "number": "1710224977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 WATERFORD RD",
            "address_2": "SHIPPING ADDRESS LINE 2",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209012740",
            "telephone_number": "301-633-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 WATERFORD RD",
            "address_2": "SHIPPING ADDRESS LINE 2",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209012740",
            "telephone_number": "301-633-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARQUESSA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "03545",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC301739",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.