Provider Demographics
NPI:1811578677
Name:MARSHALL, BRITTANY (LCSW-C)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7340 DAMASCUS RD
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20882-3314
Mailing Address - Country:US
Mailing Address - Phone:240-480-2549
Mailing Address - Fax:
Practice Address - Street 1:7340 DAMASCUS RD
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20882-3314
Practice Address - Country:US
Practice Address - Phone:240-480-2549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-14
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD158221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical