Provider Demographics
NPI:1841915337
Name:BROWN, KEIRA (LICSW,LCSW-C,LCSW)
Entity type:Individual
Prefix:
First Name:KEIRA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:LICSW,LCSW-C,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8507 OXON HILL RD STE 200
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-4774
Mailing Address - Country:US
Mailing Address - Phone:323-359-7223
Mailing Address - Fax:
Practice Address - Street 1:812 NEPTUNE AVE
Practice Address - Street 2:
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-2024
Practice Address - Country:US
Practice Address - Phone:202-601-3672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-06
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD292261041C0700X
VA09040177741041C0700X
DCLC2000037031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDB-400-465-734-116OtherDRIVER LICENSE