Provider Demographics
NPI:1710224977
Name:BROWN, MARQUESSA V (PHD, LCSW-C)
Entity Type:Individual
Prefix:DR
First Name:MARQUESSA
Middle Name:V
Last Name:BROWN
Suffix:
Gender:F
Credentials:PHD, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 WATERFORD RD
Mailing Address - Street 2:SHIPPING ADDRESS LINE 2
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-2740
Mailing Address - Country:US
Mailing Address - Phone:301-633-0764
Mailing Address - Fax:
Practice Address - Street 1:409 WATERFORD RD
Practice Address - Street 2:SHIPPING ADDRESS LINE 2
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-2740
Practice Address - Country:US
Practice Address - Phone:301-633-0764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-08
Last Update Date:2013-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD035451041C0700X
DCLC3017391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical