Kiarra' Mechel'la Bragg, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

31349 Issued in MD

Practice address

1401 Mercantile LN Ste 433
Upper Marlboro, MD 20774-4321

Phone

(240) 681-9721

NPI assigned

May 29, 2024

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

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.

• Building Beyond Therapy Inc.

  • Clinical Social Worker
  • Upper Marlboro, MD
  • NPI 1548904394
  NPD

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1831939602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12204 KINGSFORD CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207211950",
            "telephone_number": "240-505-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MERCANTILE LN STE 433",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207744321",
            "telephone_number": "240-681-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGG",
        "first_name": "KIARRA'",
        "middle_name": "MECHEL'LA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "31349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fran Levonne Boulware, LGPC
• Terry Bowden
• Natasha Bowditch, MSW, LCSW-C
• Marcy Bowers, LMSW
• Tahirah Boyd
• Daezja Bray
• Salina Brazela, DPT
• Kenya Netosha Brent, MPT
• Shiresse Morgan Brewington, MSW, LCSW-C
• Bridgeway Healthcare LLC

• Social Worker in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.