| Sue Brown, Llc | |
|
711 W 40th St Ste 358 Baltimore MD 21211-2111 | |
| (443) 350-0813 | |
| (484) 805-7166 |
| Full Name | Sue Brown, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 711 W 40th St Ste 358, Baltimore, Maryland |
| Authorized Official Name and Position | Susan Brown (OWNER) |
| Authorized Official Contact | 4433500813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sue Brown, Llc 711 W 40th St Ste 358 Baltimore MD 21211-2111 Ph: (443) 350-0813 | Sue Brown, Llc 711 W 40th St Ste 358 Baltimore MD 21211-2111 Ph: (443) 350-0813 |
| NPI Number | 1992174999 |
|---|---|
| Provider Enumeration Date | 09/20/2015 |
| Last Update Date | 02/15/2024 |
| Certification Date | 02/15/2024 |
| Medicare PECOS PAC ID | 2365749199 |
|---|---|
| Medicare Enrollment ID | O20160322002653 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992174999 | NPI | - | NPPES |
| 815718 | Medicaid | MD | |
| 13523036 | Other | MD | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 13617 (Maryland) | Primary |
| Provider Name | Susan A Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144629189 PECOS PAC ID: 8325359383 Enrollment ID: I20150617000467 |
| Provider Name | Janet L Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003130139 PECOS PAC ID: 9638564529 Enrollment ID: I20220317002662 |
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