Healthcare Provider Details

I. General information

NPI: 1639635576
Provider Name (Legal Business Name): COURTNEY BROWN LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2019
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 N POINT RD
BALTIMORE MD
21219-1364
US

IV. Provider business mailing address

7400 N POINT RD
BALTIMORE MD
21219-1364
US

V. Phone/Fax

Practice location:
  • Phone: 443-809-7519
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number16771
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: