Brenda Massicott, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

101YM0800X Issued in MD

Practice address

9401 White Cedar Dr
Apt 309
Owings Mills, MD 21117-7516

Phone

(410) 830-9113

NPI assigned

Jul 24, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Brenda Conway Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1861834475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 RANCHO GRANDE DR.",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77049",
            "telephone_number": "410-830-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 WHITE CEDAR DR",
            "address_2": "APT 309",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211177516",
            "telephone_number": "410-830-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSICOTT",
        "first_name": "BRENDA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MD",
            "license": "172V00000X",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "101YM0800X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "CONWAY",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maryland Sportscare & Rehab, LLC
• Masa Healthcare, LLC
• Mark A Mashburn, M.D.
• Aisha Jamil Mason, LGPC
• Crystal Yolanda Mason, LCADC
• Masterlife With Stacey Coaching & Consulting LLC
• Tiffany Tutman Mathis, LMSW
• Matrix Rehabilitation Maryland, Inc.
• Lachrisia Lorraine Matthews, LCPC
• Malerie Matthews

• Mental Health Counselor in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.