Jessica Indriani Gaddy Brown, LICSW
Social Worker, Clinical in Washington, DC. Individual provider (NPI-1).
NPI number1013364652
StatusActive
Last updated in NPPESJun 10, 2020
Details
- NPI
- 1013364652
- Entity type
- Individual (NPI-1)
- Name
- Jessica Indriani Gaddy Brown
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 23, 2016
- Certification date
- Jun 10, 2020
- Last updated
- Jun 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
996 Maine Ave Sw # 444Washington, DC 20024-3440
Phone 909-831-7044
Mailing address
996 Maine Ave Sw # 444Washington, DC 20024-3440
Phone 909-831-7044
Other practice locations
3000 Connecticut Ave Nw Ste 410
Washington, DC 20008-2552
Washington, DC 20008-2552
Phone 240-481-1892
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