Healthcare Provider Details

I. General information

NPI: 1225949613
Provider Name (Legal Business Name): JEN BRAVEMAN, LCSW-C, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 COLESVILLE RD
SILVER SPRING MD
20901-2335
US

IV. Provider business mailing address

10000 COLESVILLE RD
SILVER SPRING MD
20901-2335
US

V. Phone/Fax

Practice location:
  • Phone: 301-500-0189
  • Fax:
Mailing address:
  • Phone: 301-500-0189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER BRAVEMAN
Title or Position: OWNER/PSYCHOTHERAPIST
Credential: LCSW-C
Phone: 301-367-9147