Provider Demographics
NPI:1902009681
Name:BROWN, MARION ANN (LICSW)
Entity Type:Individual
Prefix:MS
First Name:MARION
Middle Name:ANN
Last Name:BROWN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11713 BISHOPS CONTENT RD
Mailing Address - Street 2:
Mailing Address - City:MITCHELLVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-2583
Mailing Address - Country:US
Mailing Address - Phone:301-390-0645
Mailing Address - Fax:
Practice Address - Street 1:650 PENNSYLVANIA AVE SE STE 410
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-4339
Practice Address - Country:US
Practice Address - Phone:202-544-0072
Practice Address - Fax:202-544-0037
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3015061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical