Brandiss Marks, LCSW
Social Worker, Clinical in Covington, GA. Individual provider (NPI-1).
NPI number1962006346
StatusActive
Last updated in NPPESNov 25, 2020
Details
- NPI
- 1962006346
- Entity type
- Individual (NPI-1)
- Name
- Brandiss Marks
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 25, 2020
- Certification date
- Nov 25, 2020
- Last updated
- Nov 25, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CSW007397 | GA | Yes |
Practice location
125 Hallmark LnCovington, GA 30014-7058
Phone 478-251-9351
Mailing address
125 Hallmark LnCovington, GA 30014-7058
Phone 478-251-9351
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All 27 Clinical Social Worker providers in Covington · All 1,316 providers in Covington
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