Provider Demographics
NPI:1164190351
Name:BROWNFIELD, PRINCESS (USAV, CLC, CHC, CCHW)
Entity Type:Individual
Prefix:MS
First Name:PRINCESS
Middle Name:
Last Name:BROWNFIELD
Suffix:
Gender:F
Credentials:USAV, CLC, CHC, CCHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1331 4TH ST SE APT 339
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-4470
Mailing Address - Country:US
Mailing Address - Phone:202-718-8743
Mailing Address - Fax:
Practice Address - Street 1:1331 4TH ST SE APT 339
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-4470
Practice Address - Country:US
Practice Address - Phone:202-600-5265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-01
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC171400000X, 251S00000X
VA20180709101YA0400X
171W00000X, 174H00000X, 175T00000X, 251C00000X
MD09042020172V00000X
MO163704405300000X
DC06212021171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No171W00000XOther Service ProvidersContractorGroup - Single Specialty
No172V00000XOther Service ProvidersCommunity Health Worker
No174H00000XOther Service ProvidersHealth Educator
No175T00000XOther Service ProvidersPeer Specialist
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
No405300000XOther Service ProvidersPrevention ProfessionalGroup - Single Specialty